Individual
TRAVIS HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1255 W BASELINE RD STE B138, MESA, AZ 85202-5820
(480) 630-5794
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(480) 540-0846
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-20259
AZ
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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