Individual
MR. JEREMY PAUL HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
103 WILD FERN RD, COLUMBIA, SC 29229-9448
(803) 719-7049
Mailing address
103 WILD FERN RD, COLUMBIA, SC 29229-9448
(803) 719-7049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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