Individual
MRS. JEAN A HALFAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
401 E 8TH ST, SUITE A, ROCHESTER, IN 46975-1443
(574) 223-8565
(574) 223-8786
Mailing address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004818A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184311
ANTHEM
IN
01
—
111810013
MEDICARE
IN
Enumeration date
06/29/2006
Last updated
06/28/2019
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