Provider Demographics
NPI:1750822045
Name:HUNTER, CIERRE
Entity Type:Individual
Prefix:
First Name:CIERRE
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13101 MILLHAVEN PL
Mailing Address - Street 2:APT. E
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-6327
Mailing Address - Country:US
Mailing Address - Phone:240-246-6262
Mailing Address - Fax:
Practice Address - Street 1:13101 MILLHAVEN PL
Practice Address - Street 2:APT. E
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-6327
Practice Address - Country:US
Practice Address - Phone:240-246-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician