Individual
TAKIMA HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 253-5020
(860) 253-5030
Mailing address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 253-5020
(860) 253-5030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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