Individual
JILL HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHCA
Contact information
Practice address
104 WAXHAW PROFESSIONAL PARK DR STE D, WAXHAW, NC 28173-5020
(704) 718-4292
Mailing address
7017 OLD RIDGE RD, WAXHAW, NC 28173-8000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A9589
NC
Other
Enumeration date
06/09/2015
Last updated
10/21/2025
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