Provider Demographics
NPI:1427357128
Name:HUNTER, KAREN M (LMSW-CC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ORONO RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-1106
Mailing Address - Country:US
Mailing Address - Phone:207-874-8205
Mailing Address - Fax:207-874-8243
Practice Address - Street 1:23 ORONO RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-1106
Practice Address - Country:US
Practice Address - Phone:207-874-8205
Practice Address - Fax:207-874-8243
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC5843104100000X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No104100000XBehavioral Health & Social Service ProvidersSocial Worker