Healthcare Provider Details

I. General information

NPI: 1205215134
Provider Name (Legal Business Name): KARA HUNT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E MARKET ST
WARREN OH
44481-1141
US

IV. Provider business mailing address

9067 BRIARBROOK DR NE
WARREN OH
44484-1745
US

V. Phone/Fax

Practice location:
  • Phone: 330-399-6451
  • Fax:
Mailing address:
  • Phone: 330-720-2981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC1200456
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: