MR. ANTHONY WARREN HUNNIUTT LSW LAOC LICENSED SO NPI 1114096724

NPI Information

NPI: 1114096724
Provider Name: MR. ANTHONY WARREN HUNNIUTT, LSW LAOC LICENSED SO
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
7590 LYRIC LANE NE
FRIDLEY, MN
ZIP 55432
Phone: (763) 236-4509
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MR. Anthony Warren Hunniutt, LSW LAOC LICENSED SO is an addiction (substance use disorder) counselor in Fridley, MN. MR. Anthony Warren Hunniutt, LSW LAOC LICENSED SO NPI is 1114096724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7590 LYRIC LANE NE
FRIDLEY, MN
ZIP 55432
Phone: (763) 236-4509
Fax: (763) 236-4370

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	301004	MINNESOTA	Yes
2	104100000X	Social Worker		12707	MINNESOTA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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