Individual
MARCELLA A HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1989 PASS ROAD, GULFPORT, MS 39531
(228) 207-1248
(228) 388-6182
Mailing address
1989 PASS ROAD, GULFPORT, MS 39531
(228) 207-1248
(228) 388-6182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
07/03/2007
Last updated
05/23/2018
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