Provider Demographics
NPI:1659992352
Name:HUNTER, LENWOOD MCCOY (MPA)
Entity Type:Individual
Prefix:MR
First Name:LENWOOD
Middle Name:MCCOY
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MPA
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 2071
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94604-2071
Mailing Address - Country:US
Mailing Address - Phone:510-577-1875
Mailing Address - Fax:
Practice Address - Street 1:6955 FOOTHILL BLVD STE 300
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2421
Practice Address - Country:US
Practice Address - Phone:510-577-1875
Practice Address - Fax:510-577-5619
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker