Individual
MS. MARY ELLEN HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
614 PETERSON RD # 200, BURLINGTON, WA 98233-2606
(360) 856-3054
Mailing address
614 PETERSON RD # 200, BURLINGTON, WA 98233-2606
(360) 391-0892
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60278291
WA
101YP2500X
Professional Counselor
CP60278291
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994565
—
WA
Enumeration date
01/04/2011
Last updated
01/04/2021
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