Individual
REBECCA J. HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2998 DAYBREAKER DR, PARK CITY, UT 84098-5855
(818) 648-3953
Mailing address
2998 DAYBREAKER DR, PARK CITY, UT 84098-5855
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS12697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158524
MHN
CA
Enumeration date
09/02/2006
Last updated
06/09/2011
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