Provider Demographics
NPI:1073845962
Name:HUNT, ANNIKA KIRSTEN (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNIKA
Middle Name:KIRSTEN
Last Name:HUNT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 NORTH 2200 WEST
Mailing Address - Street 2:BLDG 210
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84116-4905
Mailing Address - Country:US
Mailing Address - Phone:801-573-5297
Mailing Address - Fax:
Practice Address - Street 1:765 NORTH 2200 WEST
Practice Address - Street 2:BLDG 210
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84116-4905
Practice Address - Country:US
Practice Address - Phone:801-573-5297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5204059-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical