Individual
CHRISTINA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 E RIDGE CT, JACKSONVILLE, NC 28540-7622
(910) 884-7555
Mailing address
207 E RIDGE CT, JACKSONVILLE, NC 28540-7622
(910) 884-7555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265
—
MA
Enumeration date
08/03/2011
Last updated
06/13/2024
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