Individual provider · Type 1 NPI

James Lenard Hailstock I

Mental Health Counselor · Greenville, SC

NPI number 1114756624 Active

Practice location

47 Fisherman Ln
Greenville, SC 29615-5013

Call (855) 390-6568 Map

Mailing address

106 N Bennington Dr
Spartanburg, SC 29307-2632

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500X8387 (SC)
Mental Health Counselor Primary 101YM0800X8387 (SC)

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About NPI 1114756624

James Lenard Hailstock I's National Provider Identifier is 1114756624, issued on Aug 1, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenville, SC. The record was last updated on Aug 1, 2024.