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Individual

DR. PAUL A. HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSAC, MAD

Contact information

Practice address
228 N LYNNHAVEN RD STE 118, VIRGINIA BEACH, VA 23452-7514
(757) 456-0093
(757) 456-0875
Mailing address
PO BOX 2546, VIRGINIA BEACH, VA 23450-2546
(757) 340-3489
(757) 340-4278

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102909
VA
175T00000X
Peer Specialist

Other

Enumeration date
10/02/2018
Last updated
12/12/2022
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