| Doctor Name: | DR. CAROL E HURLY |
| NPI Number: | 1821240649 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D,LCPC |
| License Number: | 1095 |
| Business Practice Address: | 111 Lillian St Suite 209 Salmon, ID - 834674301 |
| Business Phone Number: | 2089402315 |
| Business Fax Number: | |
| Mailing Address: | 111 Lillian St, Suite 209 SALMON |
| State: | ID |
| Postal Code: | 834674301 |
| Phone Number: | 2089402315 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2008 |
| NPI Last Update Date: | 10/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1095 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |