Doctor Name: | MS. ROSWITHA HELENA HURST |
NPI Number: | 1225136799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 0091591 |
Business Practice Address: | 316 S Abilene Ave Portales, NM - 881306208 |
Business Phone Number: | 5752263494 |
Business Fax Number: | 5752263495 |
Mailing Address: | 109 S Avenue F, PORTALES |
State: | NM |
Postal Code: | 881305954 |
Phone Number: | 5757141326 |
Fax Number: | 5752263494 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0091591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |