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Individual

MR. GREGORY A. HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NCP, LMHC

Contact information

Practice address
2738 E. 00 NS, KOKOMO, IN 46901-6631
(765) 236-1964
(765) 326-1960
Mailing address
2738 E. 00 NS, KOKOMO, IN 46901-6631
(765) 236-1964
(765) 326-1960

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000223A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000390318
ANTHEM PIN
IN
05
200958980A
IN
Enumeration date
08/20/2006
Last updated
06/27/2011
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