Provider Demographics
NPI:1700067543
Name:HUNT, NAOMI NICOLE (MA, LMFT)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:NICOLE
Last Name:HUNT
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 684
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:CA
Mailing Address - Zip Code:96007-0684
Mailing Address - Country:US
Mailing Address - Phone:530-722-7763
Mailing Address - Fax:530-241-2121
Practice Address - Street 1:19791 BIG BEND DR
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:CA
Practice Address - Zip Code:96022-7746
Practice Address - Country:US
Practice Address - Phone:307-227-7635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112203101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health