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NPI Code Detail

MEDICARE: CASSANDRA HURLBUT

MEDICARE: CASSANDRA HURLBUT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorRT1437220326CA

General Provider Information

NPI Number : 1164361382
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA HURLBUT
Provider Business Mailing Address
First Line : 10746 NEW HAVEN ST UNIT 6
Second Line :
City : SUN VALLEY
State : CA
Zip : 91352-5421
Country : US
Telephone Number : 808-497-2970
Fax Number :
Provider Business Practice Location Address
First Line : 1230 N MARENGO AVE
Second Line :
City : PASADENA
State : CA
Zip : 91103-2217
Country : US
Telephone Number : 808-497-2970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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