Healthcare Provider Details

I. General information

NPI: 1356764617
Provider Name (Legal Business Name): MARY HUNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2014
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SCHOOL ST
WILLIAMSTON MI
48895-1327
US

IV. Provider business mailing address

201 SCHOOL ST
WILLIAMSTON MI
48895-1327
US

V. Phone/Fax

Practice location:
  • Phone: 517-614-5217
  • Fax: 517-717-5907
Mailing address:
  • Phone: 517-614-5217
  • Fax: 517-717-5907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401013787
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: