Most Relevant Information
Provider Data
| NPI Number: | 1003483041 |
| Provider Name: | DENETRA L HARDY LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 178001961 |
Most Important Dates
| Enumeration Date: | 06/08/2021 |
| Last Updated: | 07/12/2021 |
Provider Practice Location
302 S WILLOW ST
GLENWOOD
IL
604251826
Practice Location Phone/Fax
| Phone: | 7087857810 |
| Fax: |
Provider Mailing Location
302 S WILLOW ST
GLENWOOD
IL
604251826
Provider Mailing Phone/Fax
| Phone: | 7087857810 |
| Fax: |