Healthcare Provider Details

I. General information

NPI: 1871085985
Provider Name (Legal Business Name): EMILY HUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9015 MURRAY AVE STE 100
GILROY CA
95020-3617
US

IV. Provider business mailing address

9015 MURRAY AVE STE 100
GILROY CA
95020-3617
US

V. Phone/Fax

Practice location:
  • Phone: 408-665-4908
  • Fax: 408-842-0383
Mailing address:
  • Phone: 408-665-4908
  • Fax: 408-842-0383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMFT119596
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: