Individual
MR. TYLER HUDSON HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH,
Contact information
Practice address
2822 E COLFAX AVE, DENVER, CO 80206-1507
(303) 953-2299
Mailing address
2822 E COLFAX AVE, DENVER, CO 80206-1507
(303) 563-9569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AADC
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1923
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-QMHP-R-1674
QUALIFIED MENTAL HEALTH PROVIDER
OR
01
—
ADDC
LICENSED ADDICTION COUNSELOR
CO
01
—
LCDC
LICENSED CHEMICAL DEPENDENCY COUNSELOR
TX
01
—
T-22-1923
MENTAL HEALTH AND ADDICTION CERTIFICATION BOARD OF OREGON
OR
01
—
TG-22-095
CERTIFIED GAMBLING AND RECOVERY COUNSELOR
OR
Enumeration date
10/12/2022
Last updated
12/04/2022
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