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TERESA KEANE HARDMAN CMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1750861050

Individual Registrant:
 TERESA KEANE HARDMAN CMHC
Gender: F
Sole Proprietor

Location and contact information for practice:
165 W 100 N  MENDON, UT 84325 US
Tel: 435-881-7754  Fax: --

Contact information for business:
PO BOX 274  MENDON, UT 84325-0274 US
Tel: 435-881-7754  Fax: --

Registration Information:
NPI: 1750861050
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
UT360792-6004

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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