Individual
HALLE BROOKE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
232 COULTER CT, PENDLETON, SC 29670-9632
(704) 458-2606
Mailing address
232 COULTER CT, PENDLETON, SC 29670-9632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11020
SC
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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