Individual
MR. ERIC KEITH HARDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Contact information
Practice address
1769 JAMESTOWN RD STE 206, WILLIAMSBURG, VA 23185-2307
(804) 832-4409
Mailing address
1769 JAMESTOWN RD STE 206, WILLIAMSBURG, VA 23185-2307
(804) 832-4409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102016
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
11875
TX
101YP2500X
Professional Counselor
Primary
0701003908
VA
101YP2500X
Professional Counselor
70174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010236169
—
VA
Enumeration date
11/06/2006
Last updated
09/10/2020
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