Provider Demographics
NPI:1891274239
Name:HUNTER, LORAINE (LCSW)
Entity Type:Individual
Prefix:DR
First Name:LORAINE
Middle Name:
Last Name:HUNTER
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 1:1118 E VILLAGE WAY
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:UT
Mailing Address - Zip Code:84004-1795
Mailing Address - Country:US
Mailing Address - Phone:385-247-9047
Mailing Address - Fax:
Practice Address - Street 1:165 W CANYON CREST RD STE 110
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:UT
Practice Address - Zip Code:84004-1995
Practice Address - Country:US
Practice Address - Phone:385-247-9047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT376374-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty