Individual
MICHAEL R HUNNICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAC
Contact information
Practice address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
(801) 293-9999
Mailing address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
(801) 293-9999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6839267-6006
UT
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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