Individual
CAROL JOAN HARDEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 BAY ST, SUITE 24, PORT ORCHARD, WA 98366-5242
(360) 602-0022
Mailing address
1014 BAY ST, SUITE 24, PORT ORCHARD, WA 98366-5242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60722194
WA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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