Individual
MS. ILENE HART, MC, LPC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC, NCC
Contact information
Practice address
256 N SECOND ST, GLOBE, AZ 85501-1708
(800) 550-3922
Mailing address
256 N SECOND ST, GLOBE, AZ 85501-1708
(800) 550-3922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2081
AZ
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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