Provider Demographics
NPI:1124382247
Name:HARD, FAITH LIN (MA)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:LIN
Last Name:HARD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1753 ARCIERO WAY
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-7189
Mailing Address - Country:US
Mailing Address - Phone:805-610-0585
Mailing Address - Fax:
Practice Address - Street 1:1753 ARCIERO WAY
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-7189
Practice Address - Country:US
Practice Address - Phone:805-610-0585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67120101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)