Basic Information
| Provider Information | |||||||||
| NPI: | 1558925594 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUNSINGER | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 70 GRUBER LN STE 107 | ||||||||
| Address2: | |||||||||
| City: | ST SIMONS ISLAND | ||||||||
| State: | GA | ||||||||
| PostalCode: | 315222888 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7708072022 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3975 ROSWELL RD NE STE 102 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303424119 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7708072022 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2019 | ||||||||
| LastUpdateDate: | 04/26/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | LPC010208 | GA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.