Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL A HARDESTY, PHD
Active Sole ProprietorDR. RUSSELL A HARDESTY, PHD is a Professional Counselor healthcare provider located in AUXVASSE, Missouri. NPI 1861725160 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · AUXVASSE, MO
Registration Details
- NPI Number
- 1861725160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2009 (16.884324029264 yrs)
- Last Updated
- Sep 17, 2009
- License
-
001224 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
807 COUNTY ROAD 281AUXVASSE, MO, 652311128Browse MO providers · Browse ZIP 65231
- Phone
- 5733874528
- Fax
- 5733874849
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.