Provider Demographics
NPI:1801948732
Name:HUNTER, GREGORY GLENN (LPC)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:GLENN
Last Name:HUNTER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:GREGG
Other - Middle Name:
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:4327 GALETTE LN
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-1564
Mailing Address - Country:US
Mailing Address - Phone:803-370-3819
Mailing Address - Fax:
Practice Address - Street 1:105A E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-4862
Practice Address - Country:US
Practice Address - Phone:704-226-1352
Practice Address - Fax:704-282-9362
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5541101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health