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Individual

MRS. SHAWNA HALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1930 S ALMA SCHOOL RD STE C105, MESA, AZ 85210-3067
(480) 645-3177
Mailing address
4916 E DALLAS ST, MESA, AZ 85205-6434
(480) 645-3177

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-20898
AZ
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
04/07/2022
Last updated
05/08/2024
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