Provider Demographics
NPI:1043607492
Name:HUNT, CAROL L (MAPC, LAC, CCTP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:L
Last Name:HUNT
Suffix:
Gender:F
Credentials:MAPC, LAC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 PALMCROFT WAY NW
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85007
Mailing Address - Country:US
Mailing Address - Phone:480-278-3085
Mailing Address - Fax:
Practice Address - Street 1:5010 E SHEA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4681
Practice Address - Country:US
Practice Address - Phone:480-278-3085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC 13822101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health