Individual
MS. MEGAN MARIE-JOSEPHINE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLP CAADC GR
Contact information
Practice address
141 E CENTER ST, PETERSBURG, MI 49270-9701
(248) 395-6349
(248) 483-7868
Mailing address
2700 CAMPUS BLVD NE, UNM SRC 1465; C 229 D, ALBUQUERQUE, NM 87106-8000
(586) 335-0949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-02623
MI
103T00000X
Psychologist
6301014646
MI
103T00000X
Psychologist
Primary
6361004514
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102117377
UNM STUDENT IDENTIFICATION
NM
01
—
521833572
DRIVERS LICENSE
NM
Enumeration date
03/06/2011
Last updated
04/01/2026
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