Individual
DR. MICHAEL THOMAS HURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. LMFT LPC NCC
Contact information
Practice address
9 DUNHAM POND ROAD, STORRS, CT 06268
(860) 477-0497
(860) 477-0532
Mailing address
9 DUNHAM POND ROAD, STORRS, CT 06268
(860) 477-0497
(860) 477-0532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
000756
CT
106H00000X
Marriage & Family Therapist
Primary
001179
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002535
—
CT
Enumeration date
08/06/2008
Last updated
12/15/2009
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