Provider Demographics
NPI:1124357900
Name:HUNTER, DRUCELLE J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DRUCELLE
Middle Name:J
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DRU
Other - Middle Name:J
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:13123 EAST 16TH AVE.
Mailing Address - Street 2:B130
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:720-777-8493
Mailing Address - Fax:
Practice Address - Street 1:13123 EAST 16TH AVE.
Practice Address - Street 2:B130
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:720-777-8493
Practice Address - Fax:720-777-7309
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9892661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical