Provider Demographics
NPI:1023153004
Name:HURST, CHRISTINE STUTZ (CMHC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:STUTZ
Last Name:HURST
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 N SAGE HEN DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-3156
Mailing Address - Country:US
Mailing Address - Phone:435-879-1858
Mailing Address - Fax:801-820-8700
Practice Address - Street 1:541 N SAGE HEN DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780
Practice Address - Country:US
Practice Address - Phone:435-879-1858
Practice Address - Fax:801-820-8700
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WYLPC-1765101YP2500X
UT6473343-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor