Provider Demographics
NPI:1811186117
Name:ANDERSON-HUNTER, CARMALETA MARGURITA (QMHA, AAS, CADC I)
Entity Type:Individual
Prefix:
First Name:CARMALETA
Middle Name:MARGURITA
Last Name:ANDERSON-HUNTER
Suffix:
Gender:F
Credentials:QMHA, AAS, CADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19026 SE DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-5166
Mailing Address - Country:US
Mailing Address - Phone:503-449-7984
Mailing Address - Fax:
Practice Address - Street 1:11450 SE DIVISION ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-1193
Practice Address - Country:US
Practice Address - Phone:503-382-9907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health