Individual
ANGELA HALLISY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5869 DIXIE HWY, CLARKSTON, MI 48346-3357
(586) 646-8209
Mailing address
7431 GERALD AVE, WARREN, MI 48092-3917
(586) 601-4060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014139
MI
Other
Enumeration date
05/02/2014
Last updated
03/19/2026
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