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General NPI Number Information
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NPI Number | 1376879585
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Entity Type | Individual
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Provider Name | MICHAEL C HUNTER LCMHC, LADC
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Gender | Male
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 145 PINE HAVEN SHORES RD STE 1132
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City | SHELBURNE
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State | VT
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Zip | 05482-7703
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Country | US
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Telephone | 802-598-5932
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Fax |
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Provider Business Mailing Address
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Address Line | 428 BOLTON VALLEY ACCESS RD
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City | WATERBURY
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State | VT
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Zip | 05676-9214
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Country | US
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Telephone | 802-598-5932
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 151.0127850
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0057145
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License Number State | VT
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