Janice Marie Hurst, LADAC
Counselor, Addiction (Substance Use Disorder) in Las Vegas, NM. Individual provider (NPI-1).
NPI number1831363878
StatusActive
Last updated in NPPESApr 22, 2008
Details
- NPI
- 1831363878
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Janice Marie Hurst
- Credential
- LADAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2008
- Last updated
- Apr 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 3799 | NM | Yes |
Other names
- Janice Marie Sandoval (Other Name)
Practice location
225 Grand AveLas Vegas, NM 87701-3832
Phone 505-454-9611
Mailing address
225 Grand AveLas Vegas, NM 87701-3832
Phone 505-454-9611
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