Provider Demographics
NPI:1548324064
Name:HIRST, STEPHEN THOMSON (MHRS)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:THOMSON
Last Name:HIRST
Suffix:
Gender:M
Credentials:MHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 2ND ST APT 42
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3971
Mailing Address - Country:US
Mailing Address - Phone:925-299-1884
Mailing Address - Fax:
Practice Address - Street 1:1500 D ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-2346
Practice Address - Country:US
Practice Address - Phone:925-777-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA101YM0800XOtherMENTAL HEALTH
CA101YS0200XOtherSCHOOL
CA101Y00000XOtherCOUNSELOR