Provider Demographics
NPI:1588830855
Name:HUNTER, NANCY E (LADC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-2013
Mailing Address - Country:US
Mailing Address - Phone:860-224-5267
Mailing Address - Fax:860-224-5752
Practice Address - Street 1:33 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-2013
Practice Address - Country:US
Practice Address - Phone:860-224-5267
Practice Address - Fax:860-224-5752
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00154101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)