person
Hunter Shade
Professional Counselor in Lubbock, Texas
NPI 1457083149

Hunter Shade is a Professional Counselor based in Lubbock, TX and is specialized in Professional. Hunter Shade practices in Lubbock, TX. The NPI Number for Hunter Shade is 1457083149 and holds a License No. 84584 (Texas).

The current practice location address for Hunter Shade is 2507 79Th St Ste B, Lubbock, TX and can be reached out via phone at 806-712-5225. You can also correspond with Hunter Shade through the mailing address at 4601 66TH ST STE E, LUBBOCK, TX - 79414-4875 (mailing address contact number: ).

Location: 2507 79Th St Ste B, Lubbock, TX, 79414-4875
person
Provider Profile Details
NPI Number
1457083149
Provider Name
Hunter Shade
Credential
Provider Entity Type
Individual
Gender
Male
Address
2507 79Th St Ste B, Lubbock, TX, 79414-4875
Phone Number
806-712-5225
Fax Number
Provider Enumeration Date
06/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2507 79Th St Ste B
City
State
Zip
79423-2211
Phone Number
806-712-5225
Fax Number
person
Provider Business Mailing Address Details
Address
2507 79Th St Ste B
City
State
Zip
79423-2211
Phone Number
806-712-5225
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
84584 (Texas)
Definition
Definition to come...
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