Individual provider · Type 1 NPI

Hunter Shade

Professional Counselor · Lubbock, TX

NPI number 1457083149 Active

Practice location

2507 79th St Ste B
Lubbock, TX 79423-2211

Call (806) 712-5225 Map

Mailing address

4601 66th St Ste E
Lubbock, TX 79414-4875

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X84584 (TX)

Professional Counselor: Definition to come...

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About NPI 1457083149

Hunter Shade's National Provider Identifier is 1457083149, issued on Jun 30, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lubbock, TX. The record was last updated on Jun 30, 2022.