Hurst, Rebecca J.
Hurst, Rebecca J. is an sole proprietor health care provider with primary practice located at 2998 Daybreaker Dr , Park City UT 84098-5855. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hurst, Rebecca J. can be contacted via phone (818) 648-3953.Contact Information
Primary practice address
2998 Daybreaker Dr
Park City UT 84098-5855
Phone: (818) 648-3953
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS12697 | California |
Profile Details
| NPI number | 1568564318 |
|---|---|
| LBN Legal business name | Hurst, Rebecca J. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jun 9th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568564318 | NPPES |
| California | Other | 158524 | MHN |
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