Individual
MATT HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASII
Contact information
Practice address
1237 CALIFORNIA ST, REDDING, CA 96001-0618
(530) 243-7470
Mailing address
1237 CALIFORNIA ST, REDDING, CA 96001-0618
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
03040978
CA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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