Individual
DR. THERESA MARIE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6027 CANDICE LN, LAKE CHARLES, LA 70615-4773
(337) 520-0057
Mailing address
3717 SWANEE ST, LAKE CHARLES, LA 70607-3035
(337) 249-0536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5066
LA
Other
Enumeration date
02/22/2020
Last updated
05/10/2021
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