Doctor Name: | MS. KATHLEEN MARIE HURLEY |
NPI Number: | 1528396462 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, LPC |
License Number: | 2010024366 |
Business Practice Address: | 111 Prospect Ave Suite 203a Saint Louis, MO - 631226052 |
Business Phone Number: | 3146901667 |
Business Fax Number: | |
Mailing Address: | 111 Prospect Ave, Suite 203a SAINT LOUIS |
State: | MO |
Postal Code: | 631226052 |
Phone Number: | 3146901667 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2009 |
NPI Last Update Date: | 02/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2010024366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |