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Individual

JAMES MICHAEL HACKBARTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCA

Contact information

Practice address
841 ROOK ST, HENDERSON, NC 27536-3014
(252) 767-3830
Mailing address
841 ROOK ST, HENDERSON, NC 27536-3014
(252) 767-3830

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437425113
NC
Enumeration date
01/08/2019
Last updated
01/08/2019
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