Individual
MRS. BOBBIE-JO HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC, MA, QMHP
Contact information
Practice address
541 LUCK AVE SW, ROANOKE, VA 24016-5000
(540) 342-0411
(540) 342-3307
Mailing address
541 LUCK AVE SW, ROANOKE, VA 24016-5000
(540) 342-0411
(540) 342-3307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102705
VA
101YP2500X
Professional Counselor
Primary
0701005748
VA
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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