Provider Demographics
NPI:1295052918
Name:HUNTER, RAYMONA
Entity type:Individual
Prefix:
First Name:RAYMONA
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S MADISON AVE STE 24
Mailing Address - Street 2:
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-5741
Mailing Address - Country:US
Mailing Address - Phone:580-214-1725
Mailing Address - Fax:580-225-1130
Practice Address - Street 1:120 S MADISON AVE STE 24
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-5741
Practice Address - Country:US
Practice Address - Phone:580-214-1725
Practice Address - Fax:580-225-1130
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No174400000XOther Service ProvidersSpecialist