Individual
JAMIE HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
111 CLINTON ST, MAUMEE, OH 43537-2811
(419) 740-3022
Mailing address
510 S MAIN ST, SWANTON, OH 43558-1435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.192625
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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