Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1174032783 |
---|---|
Provider Name | Dr. Tanesha Nicole Hunter |
First Address | West Babylon, NY 11704-2037 |
Second Address | Bohemia, NY 11716-2690 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2017 |
Last Update Date | 16/06/2018 |