Individual
MR. MICHAEL REYNOLDS HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LADAC, CEAP, SAP
Contact information
Practice address
1990 E LOHMAN AVE, LAS CRUCES, NM 88001-3172
(575) 636-5260
(575) 524-1454
Mailing address
3621 SIERRA BONITA AVE, LAS CRUCES, NM 88012-0728
(575) 636-5260
(575) 524-1454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0128791
NM
Other
Enumeration date
04/14/2010
Last updated
11/12/2012
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