Provider Demographics
NPI:1104832914
Name:HUNSTOCK, DONNA LYNNE (LPC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:LYNNE
Last Name:HUNSTOCK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MAGNOLIA GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-9524
Mailing Address - Country:US
Mailing Address - Phone:985-630-2400
Mailing Address - Fax:985-892-5664
Practice Address - Street 1:204 S TYLER ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-3036
Practice Address - Country:US
Practice Address - Phone:985-630-2400
Practice Address - Fax:985-892-5664
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2777101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor