Individual
MRS. JACQUELINE HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
5108 SANDY LN, FAIRFIELD, OH 45014
(513) 834-7063
(513) 873-1567
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.163144
OH
171M00000X
Case Manager/Care Coordinator
CDCA.163144
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271413
—
OH
Enumeration date
09/29/2017
Last updated
05/31/2018
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