Provider Information for 1720098502
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Mr. TERENCE EUGENE HUNT LCMHCS, LCAS
Sex: Male
NPI: 1720098502
Last Updated: 2024-02-13
Certification Date: 2024-02-13
Certification Date: 2024-02-13
Details
| Name | Value | ||||||||||||||||
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| NPI | 1720098502 | ||||||||||||||||
| Enumeration Date | 2006-08-08 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 5612 SILER ST TRINITY, NC 27370-8989 United States Phone: 336-402-4643 | Fax: | ||||||||||||||||
| Primary Practice Address | 250 EXECUTIVE PARK BLVD STE 120 WINSTON SALEM, NC 27103-1534 United States Phone: 336-770-2477 | Fax:336-962-6739 | ||||||||||||||||
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