Individual
JASON HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
36 N DETROIT ST, XENIA, OH 45385-2909
(937) 610-4673
(937) 736-2615
Mailing address
3103 DIXIE HWY, HAMILTON, OH 45015-1653
(513) 892-4673
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1400473
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
110098
OH
101YM0800X
Mental Health Counselor
Primary
C.1400473
OH
101YP2500X
Professional Counselor
C.1400473
OH
Other
Enumeration date
06/04/2016
Last updated
11/17/2021
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