MEDICARE: AMY HUNTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	60667085	WA
2	101YM0800X	Mental Health Counselor	LH 60667085	WA

General Provider Information

NPI Number	:	1023391521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY HUNTER

Provider Business Mailing Address
First Line	:	5470 SHILSHOLE AVE NW STE 402
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4040
Country	:	US
Telephone Number	:	425-954-5202
Fax Number	:

Provider Business Practice Location Address
First Line	:	5470 SHILSHOLE AVE NW STE 402
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4040
Country	:	US
Telephone Number	:	425-954-5202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2011
Last Update Date	:	02/03/2019

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