Individual
TERESA KEANE HARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
165 W 100 N, MENDON, UT 84325
(435) 881-7754
Mailing address
PO BOX 274, MENDON, UT 84325-0274
(435) 881-7754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
360792-6004
UT
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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