Provider Demographics
NPI:1861657496
Name:HUNSAKER, JASON BLAIR (LPC, CPC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:BLAIR
Last Name:HUNSAKER
Suffix:
Gender:M
Credentials:LPC, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6161 W CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-1126
Mailing Address - Country:US
Mailing Address - Phone:702-486-6880
Mailing Address - Fax:702-486-0417
Practice Address - Street 1:6161 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-1126
Practice Address - Country:US
Practice Address - Phone:702-486-6880
Practice Address - Fax:702-486-0417
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health