Healthcare Provider Details

I. General information

NPI: 1972980936
Provider Name (Legal Business Name): JENNIFER E HUNT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2015
Last Update Date: 10/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 5TH AVE FL 2
YOUNGSTOWN OH
44504
US

IV. Provider business mailing address

1325 5TH AVE FL 2
YOUNGSTOWN OH
44504-1702
US

V. Phone/Fax

Practice location:
  • Phone: 330-743-1015
  • Fax: 330-743-1025
Mailing address:
  • Phone: 330-743-1015
  • Fax: 330-743-1025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1901473
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: