Provider Demographics
NPI:1790838548
Name:HUNTER, STEVEN R
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:R
Last Name:HUNTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4715 MARKET ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-3423
Mailing Address - Country:US
Mailing Address - Phone:910-202-4271
Mailing Address - Fax:910-599-5020
Practice Address - Street 1:4715 MARKET ST
Practice Address - Street 2:SUITE B
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3423
Practice Address - Country:US
Practice Address - Phone:910-202-4271
Practice Address - Fax:910-599-5020
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104100000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No251B00000XAgenciesCase Management