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NPI Code Detail

MEDICARE: TONI HUNT

MEDICARE:   TONI  HUNT
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
1101YA0400XAddiction (Substance Use Disorder) Counselor3313LA

General Provider Information

NPI Number : 1497128763
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONI HUNT
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 660-890-8186
Fax Number :
Provider Business Practice Location Address
First Line : 4012 AVENUE H
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70615-5186
Country : US
Telephone Number : 337-433-3786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2015
Last Update Date : 11/09/2015

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Directions to “ TONI HUNT ” Practice Location

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