Provider Demographics
NPI:1619007663
Name:HUNTRESS, MARGRET HARPA (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MARGRET
Middle Name:HARPA
Last Name:HUNTRESS
Suffix:
Gender:F
Credentials:MA, LMHC
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 861
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46352-0861
Mailing Address - Country:US
Mailing Address - Phone:219-362-5000
Mailing Address - Fax:219-362-5005
Practice Address - Street 1:109 PATTON ST
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-3160
Practice Address - Country:US
Practice Address - Phone:219-362-5000
Practice Address - Fax:219-362-5005
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
IN39002115A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor