Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 2387 | CT |
N | 104100000X | Social Worker |
NPI | 1003193699 |
---|---|
Provider Name | Dr. Christopher H. Hale |
First Address | Torrington, CT 06790-5805 |
Second Address | Torrington, CT 06790-5805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2011 |
Last Update Date | 16/07/2013 |