Individual
MR. TERRANCE RAY HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 N BUFFALO DR UNIT 250, LAS VEGAS, NV 89128-3637
(702) 354-0017
Mailing address
6868 SKYPOINTE DR # 2042, LAS VEGAS, NV 89131
(702) 326-6834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453689144
—
NV
Enumeration date
12/03/2012
Last updated
12/03/2012
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