Individual
DENNITA G HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 OCONEE SQUARE DR, SENECA, SC 29678-2546
(864) 888-2337
Mailing address
209 OCONEE SQUARE DR, SENECA, SC 29678-2546
(864) 888-2337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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