Individual provider · Type 1 NPI
Jackie Lynne Hardman
Mental Health Counselor · Santa Rosa, CA
NPI number
1770950628
Active
Practice location
634 Pressley St
Santa Rosa, CA 95404-5526
Mailing address
11303 Skyline Rd
Forestville, CA 95436-9737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1770950628
Jackie Lynne Hardman's National Provider Identifier is 1770950628, issued on Aug 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 26, 2015.