Individual
MRS. TAMARA RENEE' HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-T
Contact information
Practice address
515 N RIDGE RD STE 204, WICHITA, KS 67212-6389
(316) 409-0565
Mailing address
515 N RIDGE RD STE 204, WICHITA, KS 67212-6389
(316) 409-0565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05148-T
KS
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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