Individual
JEANNETTE L HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
777 NE 7TH ST STE 205, GRANTS PASS, OR 97526-1632
(541) 507-6400
(541) 479-4010
Mailing address
PO BOX 503010, WHITE CITY, OR 97503-0813
(541) 507-6400
(541) 479-4010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT77395
CA
106H00000X
Marriage & Family Therapist
T1176
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMFT77395
CALIFORNIA LMFT
CA
01
—
T1176
OREGON LMFT
OR
Enumeration date
05/03/2007
Last updated
08/02/2022
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