Individual
BRIAN D HARDGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2600 MISSION ST, SAN MARINO, CA 91108
(626) 701-4249
Mailing address
PO BOX 965, ALHAMBRA, CA 91802-0965
(213) 640-9796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW68027
CA
Other
Enumeration date
01/21/2010
Last updated
03/20/2023
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