Provider Demographics
NPI:1649555202
Name:HUNZIKER, PAUL V (MA, LMFT , SUDP)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:V
Last Name:HUNZIKER
Suffix:
Gender:M
Credentials:MA, LMFT , SUDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8610
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98419-0610
Mailing Address - Country:US
Mailing Address - Phone:253-220-9452
Mailing Address - Fax:253-270-2236
Practice Address - Street 1:615 N 2ND ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2232
Practice Address - Country:US
Practice Address - Phone:253-220-9452
Practice Address - Fax:253-270-2236
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60213851101YA0400X
WALF60176228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)