Provider Demographics
NPI:1023241791
Name:HURT, KATHRYN J (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:J
Last Name:HURT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MRS
Other - First Name:KJ
Other - Middle Name:
Other - Last Name:HURT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:6204 BLACKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7808
Mailing Address - Country:US
Mailing Address - Phone:214-802-3168
Mailing Address - Fax:801-848-3168
Practice Address - Street 1:6204 BLACKSTONE DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7808
Practice Address - Country:US
Practice Address - Phone:214-802-3168
Practice Address - Fax:801-848-3168
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65565101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional