Provider Demographics
NPI:1386183051
Name:HUNT, WENDY (CSW)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13133 S 2665 W
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065-2219
Mailing Address - Country:US
Mailing Address - Phone:801-856-6258
Mailing Address - Fax:
Practice Address - Street 1:505 NYGREEN ST
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84029-9421
Practice Address - Country:US
Practice Address - Phone:801-450-8813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7753400-3502101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional