Provider Demographics
NPI:1841469228
Name:QUATTRO-HUNT, CARMELLA MARIE (LCPC)
Entity type:Individual
Prefix:MS
First Name:CARMELLA
Middle Name:MARIE
Last Name:QUATTRO-HUNT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9261 UPPER CREEK LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-4162
Mailing Address - Country:US
Mailing Address - Phone:410-778-0708
Mailing Address - Fax:
Practice Address - Street 1:6602 CHURCH HILL RD STE 500
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-2303
Practice Address - Country:US
Practice Address - Phone:410-778-5550
Practice Address - Fax:410-778-0984
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0691101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
9074063OtherAETNA
MDT418-0015OtherBCBS NATIONAL GROUP#
MH2173195OtherMAMSI
MD2173195OtherUBH
MD213195OtherJOHNS HOPKINS EHP
MDLT86-620937-02OtherBCBS LOCAL & GROUP