Provider Demographics
NPI:1538377718
Name:HUNT, JUDY COLLEEN (LLMSW)
Entity type:Individual
Prefix:MS
First Name:JUDY
Middle Name:COLLEEN
Last Name:HUNT
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-2620
Mailing Address - Country:US
Mailing Address - Phone:517-221-9636
Mailing Address - Fax:517-221-9636
Practice Address - Street 1:2315 MARION AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-2620
Practice Address - Country:US
Practice Address - Phone:517-221-9636
Practice Address - Fax:517-221-9636
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010854171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical