| Doctor Name: | MRS. DENISE LOUISE HALTERMAN |
| NPI Number: | 1487756078 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LCPC, LCADC |
| License Number: | LCA436 |
| Business Practice Address: | 1355 Lynmar St Keyser, WV - 267262113 |
| Business Phone Number: | 3047882484 |
| Business Fax Number: | 3047882484 |
| Mailing Address: | 1355 Lynmar St, KEYSER |
| State: | WV |
| Postal Code: | 267262113 |
| Phone Number: | 3047882484 |
| Fax Number: | 3047882484 |
| NPI Enumeration Date: | 09/02/2006 |
| NPI Last Update Date: | 11/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCA436 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |