Doctor Name: | KATHY J HURLEY |
NPI Number: | 1063617314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 125 Sw C St Madras, OR - 977411458 |
Business Phone Number: | 5414756575 |
Business Fax Number: | |
Mailing Address: | 125 Sw C St, MADRAS |
State: | OR |
Postal Code: | 977411458 |
Phone Number: | 5417889230 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 05/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |