Individual
MR. PHILIP K HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
1401 PINEHAVEN RD, CLINTON, MS 39056-3125
(601) 925-0707
Mailing address
1401 PINEHAVEN RD, CLINTON, MS 39056-3125
(601) 925-0707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0596
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0596
LPC
MS
01
—
T0118
LMFT
MS
Enumeration date
12/13/2006
Last updated
07/08/2007
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