Individual provider · Type 1 NPI

Micki L. Hallam, B.S.

Mental Health Counselor · Champaign, IL

NPI number 1780734426 Active

Practice location

1801 Fox Dr
Champaign, IL 61820-7236

Call (217) 398-8080 Map

Fax (217) 398-5817

Mailing address

403 W Ells Ave
Champaign, IL 61820-6427

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780734426

Micki L. Hallam, B.S.'s National Provider Identifier is 1780734426, issued on Jan 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.