Individual
CHAD THOMAS HARDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
595 20 ROUTE 25A, MILLER PLACE, NY 11764-2647
(631) 744-5500
Mailing address
595 20 ROUTE 25A, MILLER PLACE, NY 11764-2647
(631) 744-5500
(631) 744-5677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P88146
NY
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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