Daniel Haviland Hallock
Counselor, Mental Health in Tigard, OR. Individual provider (NPI-1).
NPI number1407586829
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1407586829
- Entity type
- Individual (NPI-1)
- Name
- Daniel Haviland Hallock
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2022
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
8915 Sw Center StTigard, OR 97223-6307
Phone 503-726-3740
Mailing address
8915 Sw Center StTigard, OR 97223-6307
Phone 503-726-3740
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