Individual
ALEXIS A HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
129 E 5TH ST, MOUNT CARMEL, PA 17851-2175
(570) 339-1828
(570) 339-1924
Mailing address
2 ORCHARD ST, SHAMOKIN, PA 17872-7551
(570) 339-1828
(570) 339-1924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC008353
—
101YP2500X
Professional Counselor
Primary
PC008353
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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