Individual
JANAN F HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
460 W MAIN ST, ABINGDON, VA 24210-2608
(276) 628-5752
(276) 628-5190
Mailing address
460 W MAIN ST, ABINGDON, VA 24210-2608
(276) 628-5752
(276) 628-5190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003059
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945298
—
VA
01
—
215756
ANTHEM
VA
01
—
412249
VALUE OPTIONS
VA
01
—
MAGELLAN
MAGELLAN
VA
Enumeration date
04/13/2006
Last updated
11/17/2014
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