Individual
JENNIFER RAE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC NCC CAADC MAC CC
Contact information
Practice address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 858-7766
Mailing address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 858-7766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401012492
MI
101YM0800X
Mental Health Counselor
Primary
6401012492
MI
Other
Enumeration date
06/29/2011
Last updated
04/07/2026
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