Individual
HALLIE ANN MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1907 CONSTITUTION DRIVE, FAIRMONT, WV 26554
(304) 669-6408
(304) 636-9243
Mailing address
1907 CONSTITUTION DRIVE, FAIRMONT, WV 26554
(304) 669-6408
(304) 636-9243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
94-306
WV
101YP2500X
Professional Counselor
1363
WV
103TC0700X
Clinical Psychologist
Primary
756
WV
Other
Enumeration date
03/07/2008
Last updated
05/08/2015
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