Provider Information for 1033221130
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JEFFREY LEMONT HUNTER MA, LPC
Sex: Male
NPI: 1033221130
Last Updated: 2018-08-16
Certification Date:
Certification Date:
Details
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NPI | 1033221130 | ||||||||
Enumeration Date | 2006-08-31 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 314 S MAIN ST FAIRMONT, NC 28340-1906 United States Phone: 910-628-9091 | Fax:910-628-9091 | ||||||||
Primary Practice Address | 314 S MAIN ST FAIRMONT, NC 28340 United States Phone: 910-628-9091 | Fax:910-628-9091 | ||||||||
Secondary Practice Address(es) | 3711 MARTIN LUTHER KING JR DR | ||||||||
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