Provider Demographics
NPI:1982900494
Name:HUNTER, GEORGE LYMAN (MA, MFT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:LYMAN
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28999 OLD TOWN FRONT ST STE 202
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5806
Mailing Address - Country:US
Mailing Address - Phone:951-852-3619
Mailing Address - Fax:
Practice Address - Street 1:28999 OLD TOWN FRONT ST STE 202
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5806
Practice Address - Country:US
Practice Address - Phone:951-852-3619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49527106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist