Individual
SAMUEL KEITH HARDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
7530 E ANGUS DR, SCOTTSDALE, AZ 85251-6410
(480) 947-5739
(480) 946-7795
Mailing address
3817 E MONTECITO AVE, PHOENIX, AZ 85018-4138
(602) 524-2500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-17561
AZ
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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