Basic Information
| Provider Information | |||||||||
| NPI: | 1922765338 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUNTER | ||||||||
| FirstName: | CHRISTA | ||||||||
| MiddleName: | LEANNE | ||||||||
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| Credential: | PEER COUNSELOR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1090 W BETZ RD APT 1224 | ||||||||
| Address2: | |||||||||
| City: | CHENEY | ||||||||
| State: | WA | ||||||||
| PostalCode: | 990046040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5098623609 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 910 W BOONE AVE | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992015029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5093257232 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2021 | ||||||||
| LastUpdateDate: | 11/19/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 175T00000X | Y |
No ID Information.