Individual
MS. SARAH LYNN HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, BCBA
Contact information
Practice address
8200 WOODGLEN LN APT 201, DOWNERS GROVE, IL 60516-4525
(971) 344-9440
Mailing address
8200 WOODGLEN LN APT 201, DOWNERS GROVE, IL 60516-4525
(971) 344-9440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001746A
IN
101YM0800X
Mental Health Counselor
C2213
OR
103K00000X
Behavior Analyst
Primary
1-07-3417
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523704
ANTHEM BC/BS
IN
01
—
82637300
MAGELLAN
IN
Enumeration date
10/24/2006
Last updated
03/07/2014
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