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Provider Information for 1700143245


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CHRISTIEN HARDEN MSW, LCSW, LCAS, CCS


Sex: Male

NPI: 1700143245
Last Updated: 2025-03-19
Certification Date: 2025-03-19

Details

NameValue
NPI1700143245
Enumeration Date2012-04-23
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 6135 PARK SOUTH DR STE 510
CHARLOTTE, NC 28210-0100
United States

Phone: 336-355-7016 | Fax:
 
Primary Practice Address 6135 PARK SOUTH DR STE 510
CHARLOTTE, NC 28210-0100
United States

Phone: 336-355-7016 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)
No 1041C0700X - Social Worker - ClinicalNCC008904
No 1041C0700X - Social Worker - ClinicalVA0904010225
No 1041C0700X - Social Worker - ClinicalGACSW009305
Yes 1041C0700X - Social Worker - Clinical