Individual
BERNITA HARDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19150 MACKAY ST, DETROIT, MI 48234-1430
(313) 772-1890
Mailing address
19150 MACKAY ST, DETROIT, MI 48234-1430
(313) 772-1890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022869
MI
247200000X
Other Technician
—
MI
Other
Enumeration date
08/31/2016
Last updated
06/22/2023
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