Provider Demographics
NPI:1043080930
Name:HARDEN, ERIN (MAC, LAC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:HARDEN
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 GOODALE RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3433
Mailing Address - Country:US
Mailing Address - Phone:410-236-0351
Mailing Address - Fax:
Practice Address - Street 1:600 WYNDHURST AVE STE 270
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2439
Practice Address - Country:US
Practice Address - Phone:410-236-0351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU03066171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist