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Individual
KATHERINE HALES
Active
Individual
KATHERINE HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., NCC, LGPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP14928
MD
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
01/03/2024
Last updated
10/14/2026
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