| Doctor Name: | TERI HARTT |
| NPI Number: | 1699817296 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A.,M.F.T. |
| License Number: | MFC 25552 |
| Business Practice Address: | 5923 Kanan Rd Agoura, CA - 913011688 |
| Business Phone Number: | 8184076945 |
| Business Fax Number: | 8188799167 |
| Mailing Address: | 5923 Kanan Rd, AGOURA |
| State: | CA |
| Postal Code: | 913011688 |
| Phone Number: | 8184076945 |
| Fax Number: | 8188799167 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFC 25552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |