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Deserie M Fillmore Hardy, MCP,CDP
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1760501183

Deserie M Fillmore Hardy is an Addiction (Substance Use Disorder) Counselor based in Centralia, WA and is specialized in Addiction (Substance Use Disorder). Deserie M Fillmore Hardy practices in Chehalis, WA and has the professional credentials of MCP,CDP. The NPI Number for Deserie M Fillmore Hardy is 1760501183 and holds a License No. CP00003653 (Washington).

The current practice location address for Deserie M Fillmore Hardy is 135 W Main St, Chehalis, WA and can be reached out via phone at 360-748-6696.

Location: 135 W Main St, Chehalis, WA, 98531-3923
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Provider Profile Details
NPI Number
1760501183
Provider Name
Deserie M Fillmore Hardy
Credential
MCP,CDP
Provider Entity Type
Individual
Gender
Female
Address
135 W Main St, Chehalis, WA, 98531-3923
Phone Number
360-748-6696
Fax Number
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP00003653 01 WA CHEMICAL DEPENDENCY PROFESSIONAL
institution
Provider Business Practice Location Address Details
Address
135 W Main St
City
State
Zip
98532-4817
Phone Number
360-748-6696
Fax Number
person
Provider Business Mailing Address Details
Address
135 W Main St
City
State
Zip
98532-4817
Phone Number
360-748-6696
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00003653 (Washington)
Definition
Definition to come...
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