| Doctor Name: | CURTIS JEROME HALSELL |
| NPI Number: | 1003080011 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSW, CCDCI |
| License Number: | S-31870 |
| Business Practice Address: | 212 Cook Rd Lebanon, OH - 450369600 |
| Business Phone Number: | 5136951354 |
| Business Fax Number: | 5136951831 |
| Mailing Address: | 107 Oregonia Rd Fl 2, LEBANON |
| State: | OH |
| Postal Code: | 450363903 |
| Phone Number: | 5136952411 |
| Fax Number: | 5136952309 |
| NPI Enumeration Date: | 04/22/2008 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | S-31870 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |