Provider Demographics
NPI:1851432553
Name:HUNT, CYNTHIA ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ANN
Last Name:HUNT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 EAST 3RD AVE
Mailing Address - Street 2:#707
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-5006
Mailing Address - Country:US
Mailing Address - Phone:801-355-5888
Mailing Address - Fax:801-298-2147
Practice Address - Street 1:171 EAST 3RD AVE
Practice Address - Street 2:#707
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84103-5006
Practice Address - Country:US
Practice Address - Phone:801-355-5888
Practice Address - Fax:801-298-2147
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13871735011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical