Individual
TIMOTHY HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPRS
Contact information
Practice address
228 N LYNNHAVEN RD STE 118, VIRGINIA BEACH, VA 23452-7514
(757) 456-0093
(757) 456-0875
Mailing address
PO BOX 2546, VIRGINIA BEACH, VA 23450-2546
(757) 340-3489
(757) 340-4278
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
0735000284
VA
Other
Enumeration date
08/02/2022
Last updated
09/07/2022
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