Healthcare Provider Details

I. General information

NPI: 1801750021
Provider Name (Legal Business Name): ANTHONY EARL HUNTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1237 CALIFORNIA ST
REDDING CA
96001-0618
US

IV. Provider business mailing address

1237 CALIFORNIA ST
REDDING CA
96001-0618
US

V. Phone/Fax

Practice location:
  • Phone: 530-243-7470
  • Fax: 530-243-7477
Mailing address:
  • Phone: 530-243-7470
  • Fax: 530-243-7477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number22566
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: