Individual
DR. TAMARA MCCAULEY HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPCC-S
Contact information
Practice address
3201 MIST LAKE CT, LEXINGTON, KY 40515-1063
(502) 229-3378
(859) 788-3915
Mailing address
3201 MIST LAKE CT, LEXINGTON, KY 40515-1063
(502) 229-3378
(859) 788-3915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
166820
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100424920
—
KY
Enumeration date
04/22/2012
Last updated
12/30/2022
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