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Latisha Hale

Counselor, Mental Health in Modesto, CA. Individual provider (NPI-1).

NPI number1013330331
StatusActive
Last updated in NPPESJan 22, 2014

Details

NPI
1013330331
Entity type
Individual (NPI-1)
Name
Mrs. Latisha Hale
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 22, 2014
Last updated
Jan 22, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

916 McHenry Ave
Modesto, CA 95350-5417

Phone 209-550-5850 · Fax 209-544-0487

Mailing address

916 McHenry Ave
Modesto, CA 95350-5417

Phone 209-550-5850 · Fax 209-544-0487

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