Individual
MARY G HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,L.C.A.S,. L.P.C
Contact information
Practice address
2375 MAIN ST NW APT 408, DULUTH, GA 30097-2914
(716) 465-1108
Mailing address
2375 MAIN ST NW APT 408, DULUTH, GA 30097-2914
(716) 465-1108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1707
NC
101YM0800X
Mental Health Counselor
0701006204
VA
101YP2500X
Professional Counselor
008039
GA
101YP2500X
Professional Counselor
Primary
0701006204
VA
101YP2500X
Professional Counselor
9378
NC
101YP2500X
Professional Counselor
LCPC7200
MD
101YP2500X
Professional Counselor
PRC15050
DC
Other
Enumeration date
09/20/2006
Last updated
10/28/2024
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