Individual
MR. JOHN T HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LCAS-A
Contact information
Practice address
1115-113 COVE BRIDGE ROAD, RALEIGH, NC 27604
(919) 998-8137
Mailing address
PO BOX 20354, RALEIGH, NC 27619-0354
(919) 998-8137
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20034
NC
Other
Enumeration date
11/26/2014
Last updated
12/18/2014
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