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Mr. Dywayne Lee Hurst
Mental Health Counselor in Thousand Oaks, California
NPI 1720252521

Dywayne Lee Hurst is a Mental Health Counselor based in Thousand Oaks, CA and is specialized in Mental Health. Dywayne Lee Hurst practices in Thousand Oaks, CA. The NPI Number for Dywayne Lee Hurst is 1720252521 and holds a License No. (California).

The current practice location address for Dywayne Lee Hurst is 72 Moody Ct Ste 101, Thousand Oaks, CA and can be reached out via phone at 807-777-3500 and via fax at 805-777-3510.

Location: 72 Moody Ct Ste 101, Thousand Oaks, CA, 91360-6067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720252521
Provider Name
Dywayne Lee Hurst
Credential
Provider Entity Type
Individual
Gender
Male
Address
72 Moody Ct Ste 101, Thousand Oaks, CA, 91360-6067
Phone Number
807-777-3500
Fax Number
805-777-3510
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
72 Moody Ct Ste 101
City
Thousand Oaks
State
California
Zip
91360-6067
Phone Number
807-777-3500
Fax Number
805-777-3510
person
Provider Business Mailing Address Details
Address
72 Moody Ct Ste 101
City
Thousand Oaks
State
California
Zip
91360-6067
Phone Number
807-777-3500
Fax Number
805-777-3510
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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