Provider Demographics
NPI:1912322090
Name:HUNTER, LAURIE ANNE (DBH, LPC)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:ANNE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DBH, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 NE PROFESSIONAL CT STE 250
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6988
Mailing Address - Country:US
Mailing Address - Phone:541-221-6653
Mailing Address - Fax:541-385-6080
Practice Address - Street 1:2190 NE PROFESSIONAL CT STE 250
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6988
Practice Address - Country:US
Practice Address - Phone:541-221-6653
Practice Address - Fax:541-385-6080
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5593101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional