Doctor Name: | JOHN HURLEY |
NPI Number: | 1063803310 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LISW-SUPV |
License Number: | I-0001632-SUPV |
Business Practice Address: | 120 N 3rd St Ironton, OH - 456381574 |
Business Phone Number: | 7404142247 |
Business Fax Number: | 7405320557 |
Mailing Address: | 120 N 3rd St, IRONTON |
State: | OH |
Postal Code: | 456381574 |
Phone Number: | 7404142247 |
Fax Number: | 7405320557 |
NPI Enumeration Date: | 02/09/2015 |
NPI Last Update Date: | 02/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I-0001632-SUPV |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |