Individual
ZITA HARDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
233 FULTON ST E, 524, GRAND RAPIDS, MI 49503-3200
(616) 257-7207
(616) 259-7261
Mailing address
PO BOX 1767, GRAND RAPIDS, MI 49501-1767
(616) 235-2090
(616) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012936
MI
103T00000X
Psychologist
6301015093
MI
Other
Enumeration date
07/24/2012
Last updated
06/10/2014
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