Provider Demographics
NPI:1861295164
Name:HUNTER, JAMES (MSC, MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:HUNTER
Suffix:
Gender:
Credentials:MSC, MSW, LCSW
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 105394
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65110-5394
Mailing Address - Country:US
Mailing Address - Phone:573-353-3688
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 105394
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65110-5394
Practice Address - Country:US
Practice Address - Phone:573-353-3688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0004431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty