person
Dr. Russell A Hardesty, PHD
Professional Counselor in Auxvasse, Missouri
NPI 1861725160

Russell A Hardesty is a Professional Counselor based in Auxvasse, MO and is specialized in Professional. Russell A Hardesty practices in Auxvasse, MO and has the professional credentials of PHD. The NPI Number for Russell A Hardesty is 1861725160 and holds a License No. 001224 (Missouri).

The current practice location address for Russell A Hardesty is 807 County Road 281, Auxvasse, MO and can be reached out via phone at 573-387-4528 and via fax at 573-387-4849.

Location: 807 County Road 281, Auxvasse, MO, 65231-1128
person
Provider Profile Details
NPI Number
1861725160
Provider Name
Russell A Hardesty
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
807 County Road 281, Auxvasse, MO, 65231-1128
Phone Number
573-387-4528
Fax Number
573-387-4849
Provider Enumeration Date
09/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
496746801 05 MO
institution
Provider Business Practice Location Address Details
Address
807 County Road 281
City
State
Zip
65231-1128
Phone Number
573-387-4528
Fax Number
573-387-4849
person
Provider Business Mailing Address Details
Address
807 County Road 281
City
State
Zip
65231-1128
Phone Number
573-387-4528
Fax Number
573-387-4849
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001224 (Missouri)
Definition
Definition to come...
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