Provider Demographics
NPI:1477564821
Name:HURLEY, HEATHER S (LCPC, CADC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:S
Last Name:HURLEY
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 S NAPERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5462
Mailing Address - Country:US
Mailing Address - Phone:630-653-7443
Mailing Address - Fax:630-653-8666
Practice Address - Street 1:319 S NAPERVILLE RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5462
Practice Address - Country:US
Practice Address - Phone:630-653-7443
Practice Address - Fax:630-653-8666
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional