Provider Demographics
NPI:1821502832
Name:HUNTER-CUMMINS, DAVIDA NICCOLE (MS NCC LAC)
Entity Type:Individual
Prefix:
First Name:DAVIDA
Middle Name:NICCOLE
Last Name:HUNTER-CUMMINS
Suffix:
Gender:F
Credentials:MS NCC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 RIVERVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2268
Mailing Address - Country:US
Mailing Address - Phone:917-306-6484
Mailing Address - Fax:201-503-8138
Practice Address - Street 1:771 RIVERVIEW AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2268
Practice Address - Country:US
Practice Address - Phone:917-306-6484
Practice Address - Fax:201-503-8138
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YM0800X
NJ795890101YS0200X
NY78147101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool