Individual
HEATHER JUNE HALLISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 408-6190
Mailing address
105 SOUTHLAND TER, BROCKTON, MA 02301-7094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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