Individual
SAMANTHA TATUM HARDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2240
(919) 734-6676
Mailing address
1706 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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