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NPI Code Detail

MEDICARE: MR. JONATHAN WILLIAM HUNN SR. LPC

MEDICARE:  MR. JONATHAN WILLIAM HUNN SR. LPC
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
1101YP2500XProfessional Counselor2012009400MO

General Provider Information

NPI Number : 1396011169
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JONATHAN WILLIAM HUNN SR. LPC
Provider Business Mailing Address
First Line : 2403 DROSTE RD
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4803
Country : US
Telephone Number : 314-532-2387
Fax Number :
Provider Business Practice Location Address
First Line : 2403 DROSTE RD
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4803
Country : US
Telephone Number : 314-532-2387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2012
Last Update Date : 03/27/2012

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Directions to “ MR. JONATHAN WILLIAM HUNN SR. LPC” Practice Location

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