Provider Demographics
NPI:1962612416
Name:HARDEN, HAROLD NATHANAEL JR (MS ED, LMHC)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:NATHANAEL
Last Name:HARDEN
Suffix:JR
Gender:M
Credentials:MS ED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 BEARD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-1729
Mailing Address - Country:US
Mailing Address - Phone:716-838-3735
Mailing Address - Fax:716-838-3735
Practice Address - Street 1:147 BEARD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-1729
Practice Address - Country:US
Practice Address - Phone:716-838-3735
Practice Address - Fax:716-838-3735
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001325101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001325OtherLMHC