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Individual
JACI MARIE HANLEY
Active
Individual
JACI MARIE HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC,SWLC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-57045
MT
104100000X
Social Worker
—
NULL
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-72075
MT
Other
Enumeration date
05/26/2021
Last updated
07/23/2024
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