Provider Demographics
NPI:1831667781
Name:WURSTER, HANNAH (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:WURSTER
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 W OAK ST STE 110
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-7110
Mailing Address - Country:US
Mailing Address - Phone:970-829-0992
Mailing Address - Fax:
Practice Address - Street 1:117 E MOUNTAIN AVE STE 215
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2863
Practice Address - Country:US
Practice Address - Phone:970-829-0992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-08
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.0001917106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist