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Individual
DR. THERESA M O'HALLORAN
Active
Individual
DR. THERESA M O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D., LIMHP, CPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
193
CO
101YM0800X
Mental Health Counselor
Primary
679
NE
101YP2500X
Professional Counselor
1584
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025627300
—
NE
Enumeration date
03/14/2007
Last updated
02/25/2010
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