Individual
CHARLENE HARDAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N PORTLAND AVE, BROOKLYN, NY 11205-2005
(718) 260-7627
Mailing address
100 N PORTLAND AVE, BROOKLYN, NY 11205-2005
(718) 260-7627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19663
NY
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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