Provider Demographics
NPI:1619295276
Name:HUNT, CYNTHIA A (LCSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:HUNT
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 1:505 S DEWEY ST STE 106
Mailing Address - Street 2:BOX 17
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-3781
Mailing Address - Country:US
Mailing Address - Phone:715-835-5110
Mailing Address - Fax:715-835-8414
Practice Address - Street 1:505 S DEWEY ST STE 106
Practice Address - Street 2:BOX 17
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-3781
Practice Address - Country:US
Practice Address - Phone:715-835-5110
Practice Address - Fax:715-835-8414
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7633-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical