Doctor Name: | MS. DORIS L HALE |
NPI Number: | 1366554396 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 7400100 |
Business Practice Address: | 402 Thornton St Middleville, MI - 493339706 |
Business Phone Number: | 2697952243 |
Business Fax Number: | 2697955315 |
Mailing Address: | Po Box 339, MIDDLEVILLE |
State: | MI |
Postal Code: | 493330339 |
Phone Number: | 2697952243 |
Fax Number: | 2697955315 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 10/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 7400100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |