Provider Demographics
NPI:1285677302
Name:HUNTER, LINDA L (LCSW, LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LCSW, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 SHADETREE RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-7050
Mailing Address - Country:US
Mailing Address - Phone:919-732-7084
Mailing Address - Fax:
Practice Address - Street 1:118 NEW STATESIDE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-1165
Practice Address - Country:US
Practice Address - Phone:919-442-1840
Practice Address - Fax:919-442-1842
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0011341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2868460BMedicare ID - Type Unspecified