| Sally Hunter Lcsw Llc | |
|
17570 Nm 4 Jemez Springs NM 87025 | |
| (505) 250-3460 | |
| Not Available |
| Full Name | Sally Hunter Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17570 Nm 4, Jemez Springs, New Mexico |
| Authorized Official Name and Position | Sally Hunter (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5052503460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Hunter Lcsw Llc Po Box 156 Jemez Springs NM 87025-0156 Ph: (505) 250-3460 | Sally Hunter Lcsw Llc 17570 Nm 4 Jemez Springs NM 87025 Ph: (505) 250-3460 |
| NPI Number | 1295227866 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Medicare PECOS PAC ID | 2860747771 |
|---|---|
| Medicare Enrollment ID | O20180618002230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295227866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-09374 (New Mexico) | Primary |
| Provider Name | Sally Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932527140 PECOS PAC ID: 5193024560 Enrollment ID: I20160506000502 |
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