Individual
STACEY HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3362 UNIVERSITY AVE, WATERLOO, IA 50701-2006
(319) 235-6571
Mailing address
3362 UNIVERSITY AVE, WATERLOO, IA 50701-2006
(319) 235-6571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
001595
IA
Other
Enumeration date
10/30/2008
Last updated
09/13/2013
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