Individual
SANDRA HARDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCIII, CCSII
Contact information
Practice address
314 NIAGARA AVE, SHEBOYGAN, WI 53081-4128
(920) 451-8667
Mailing address
314 NIAGARA AVE, SHEBOYGAN, WI 53081-4128
(920) 451-8667
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1149
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39391900
—
WI
Enumeration date
06/14/2006
Last updated
10/26/2015
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