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Individual

JANA PATRICIA HALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
244 OLDTOWN DR, LEXINGTON, SC 29072-7220
(970) 443-0252
Mailing address
244 OLDTOWN DR, LEXINGTON, SC 29072-7220
(970) 443-0252

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0011490
CO
101YP2500X
Professional Counselor
Primary
1679
WY
101YP2500X
Professional Counselor
17879
NC
101YP2500X
Professional Counselor
7970
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147658100
WY
05
9000191794
CO
Enumeration date
09/06/2017
Last updated
04/11/2024
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