Individual
SHAUN ALEXANDER HARDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2639 NEW PINERY RD STE 1, PORTAGE, WI 53901-1110
(608) 742-5020
(608) 742-7011
Mailing address
2639 NEW PINERY RD STE 1, PORTAGE, WI 53901-1110
(608) 742-5020
(608) 742-7011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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