Provider Demographics
NPI:1235266966
Name:HUNTER, SALLY WILKINSON (LCSW,LMFT)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:WILKINSON
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LCSW,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 BONNYCASTLE AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1306
Mailing Address - Country:US
Mailing Address - Phone:502-523-0235
Mailing Address - Fax:812-941-0990
Practice Address - Street 1:202 E ELM ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-3429
Practice Address - Country:US
Practice Address - Phone:502-523-0235
Practice Address - Fax:812-941-0990
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004340A1041C0700X
KYKY-3741041C0700X
KYKY-0384106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist