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Individual

JAMES ROBERT HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA CAC I

Contact information

Practice address
304 MAIN STREET, UNIT C, LYONS, CO 80540
(720) 310-8010
(303) 823-9355
Mailing address
PO BOX 499, LYONS, CO 80540-0499
(720) 310-8010
(303) 823-9355

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6850
CO
101YM0800X
Mental Health Counselor
13918
CO
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
01/24/2007
Last updated
06/21/2012
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