Provider Demographics
NPI:1881152858
Name:HURTADO, JOSEPH LOUIS (LMHC, NCC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:LOUIS
Last Name:HURTADO
Suffix:
Gender:M
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-640 LUMIAUAU ST # A1
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5604
Mailing Address - Country:US
Mailing Address - Phone:808-777-0066
Mailing Address - Fax:
Practice Address - Street 1:302 CALIFORNIA AVE STE 212A
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-1841
Practice Address - Country:US
Practice Address - Phone:808-777-0066
Practice Address - Fax:808-484-9359
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-07
Last Update Date:2020-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI558101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health