Individual provider · Type 1 NPI

Kenya Chante Hardison

Addiction (Substance Use Disorder) Counselor · Lawrenceville, GA

NPI number 1588914477 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Mailing address

845 Crabtree Ct
Jonesboro, GA 30238-8530

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1588914477

Kenya Chante Hardison's National Provider Identifier is 1588914477, issued on Sep 18, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 18, 2012.