Provider Demographics
NPI:1689629586
Name:HARDIN, MARGARET KATRINA (LCPC CCMHC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:KATRINA
Last Name:HARDIN
Suffix:
Gender:F
Credentials:LCPC CCMHC
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:HARDIN
Other - Last Name:FLAGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC CCMHC
Mailing Address - Street 1:5407 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2024
Mailing Address - Country:US
Mailing Address - Phone:410-433-8861
Mailing Address - Fax:410-433-1249
Practice Address - Street 1:5407 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2024
Practice Address - Country:US
Practice Address - Phone:410-433-8861
Practice Address - Fax:410-433-1249
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLL0025101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
102205OtherJOHN HOPKINS HEALTH CARE
MD69773801OtherCAREFIRST BC
177319OtherMANAGED HEALTH NETWORK TR
237674OtherKAISER
199525OtherCOM PSYCH
0004OtherFED BC