Individual provider · Type 1 NPI

Willie Hardeman

Mental Health Counselor · Newport Beach, CA

NPI number 1902414600 Active

Practice location

4700 Von Karman Ave Ste 102
Newport Beach, CA 92660-2194

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902414600

Willie Hardeman's National Provider Identifier is 1902414600, issued on Jul 19, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 19, 2020.