Hurst, Jacqueline Terry

Hurst, Jacqueline Terry is an individual health care provider with primary practice located at 15370 Levan Rd. Ste 2 Livonia Counseling Center, Livonia MI 48154. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hurst, Jacqueline Terry can be contacted via phone (734) 744-0170.

Contact Information

Primary practice address
15370 Levan Rd. Ste 2 Livonia Counseling Center Livonia MI 48154
Phone: (734) 744-0170
Fax: (734) 744-0171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 075134 New York

Profile Details

NPI number 1568415545
LBN Legal business name Hurst, Jacqueline Terry
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568415545 NPPES
New York MEDICAID 07300075134LI

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