Basic Information
| Provider Information | |||||||||
| NPI: | 1427661644 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUNT | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | KIM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 98 WETHERSFIELD ST | ||||||||
| Address2: | |||||||||
| City: | ROWLEY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019691705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9782706578 | ||||||||
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| Practice Location | |||||||||
| Address1: | 718 SMYTH RD | ||||||||
| Address2: | |||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031047007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036244366 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2020 | ||||||||
| LastUpdateDate: | 07/12/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106S00000X | N | 171M00000X | N | Other Service Providers | Case Manager/Care Coordinator | 104100000X | 228182 | MA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.