Provider Demographics
NPI:1275993701
Name:HUNT, MICHELLE (RI-H1101251909)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:RI-H1101251909
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5710 WALTER ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-1527
Mailing Address - Country:US
Mailing Address - Phone:562-500-5386
Mailing Address - Fax:
Practice Address - Street 1:5710 WALTER ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-1527
Practice Address - Country:US
Practice Address - Phone:562-500-5386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor