# DR. MICHAEL THOMAS HURLOCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639335813
- **Gender:** Man
- **Credential:** PH.D. LMFT LPC NCC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 000756 | CT | — |
| 106H00000X | Marriage & Family Therapist | 001179 | CT | Yes |

## Other

- **Enumeration date:** 08/06/2008
- **Last updated:** 12/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008002535 | — | CT |