Provider Demographics
NPI:1649014168
Name:HUNT, LARRY ANTHONY I (CERTIFIED ADDICTIONS)
Entity type:Individual
Prefix:MR
First Name:LARRY
Middle Name:ANTHONY
Last Name:HUNT
Suffix:I
Gender:M
Credentials:CERTIFIED ADDICTIONS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 NEW YORK AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1256
Mailing Address - Country:US
Mailing Address - Phone:202-588-1375
Mailing Address - Fax:
Practice Address - Street 1:87 NEW YORK AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1256
Practice Address - Country:US
Practice Address - Phone:202-588-1375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCACII1111101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)