Provider Demographics
NPI:1750026415
Name:JAMES HARDWICK, CHANIN AMREK (LPCC)
Entity Type:Individual
Prefix:
First Name:CHANIN
Middle Name:AMREK
Last Name:JAMES HARDWICK
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:CHANIN
Other - Middle Name:AMREK
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2617 K ST STE 125
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5133
Mailing Address - Country:US
Mailing Address - Phone:917-234-3066
Mailing Address - Fax:
Practice Address - Street 1:2973 RUMSEY PL
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-5270
Practice Address - Country:US
Practice Address - Phone:916-753-6198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11456102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst