Provider Demographics
NPI:1891909925
Name:HUNT, JEAN MARIE (MSE)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:MARIE
Last Name:HUNT
Suffix:
Gender:F
Credentials:MSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 EAST ZERO ST.
Mailing Address - Street 2:POST OFFICE BOX 345
Mailing Address - City:AINSWORTH
Mailing Address - State:NE
Mailing Address - Zip Code:69210-0345
Mailing Address - Country:US
Mailing Address - Phone:402-387-0395
Mailing Address - Fax:402-387-0395
Practice Address - Street 1:913 EAST ZERO ST.
Practice Address - Street 2:
Practice Address - City:AINSWORTH
Practice Address - State:NE
Practice Address - Zip Code:69210-0345
Practice Address - Country:US
Practice Address - Phone:402-387-0395
Practice Address - Fax:402-387-0395
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE062101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)