Individual
TERI MARIA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
325 W GOWE ST, KENT, WA 98032-5892
(206) 408-5193
(253) 854-0795
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(206) 408-5193
(253) 854-0795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005832
WA
Other
Enumeration date
11/29/2010
Last updated
07/12/2021
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