Provider Demographics
NPI:1427388230
Name:HARDMAN, BETANIA MARIE GUERRA (LMFT)
Entity Type:Individual
Prefix:
First Name:BETANIA
Middle Name:MARIE GUERRA
Last Name:HARDMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BETANIA
Other - Middle Name:MARIE
Other - Last Name:GUERRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:2858 INTERLAKEN PASS
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-2473
Mailing Address - Country:US
Mailing Address - Phone:619-417-6365
Mailing Address - Fax:
Practice Address - Street 1:2858 INTERLAKEN PASS
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-2473
Practice Address - Country:US
Practice Address - Phone:619-417-6365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist