Individual
DR. JOHN MICHAEL HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0134063
VT
103TC0700X
Clinical Psychologist
Primary
048.0134205
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121573
—
NH
05
—
6705758
—
VT
Enumeration date
08/13/2018
Last updated
01/27/2022
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