Provider Demographics
NPI:1316376635
Name:HUNTER, COLINDA K (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:COLINDA
Middle Name:K
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 46
Mailing Address - Street 2:
Mailing Address - City:POQUONOCK
Mailing Address - State:CT
Mailing Address - Zip Code:06064-0046
Mailing Address - Country:US
Mailing Address - Phone:860-794-8260
Mailing Address - Fax:
Practice Address - Street 1:239 BURNHAM ST
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-1131
Practice Address - Country:US
Practice Address - Phone:860-794-8260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0082591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical