Provider Demographics
NPI:1639268410
Name:HALE, CARLIN CHRISTINE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:CARLIN
Middle Name:CHRISTINE
Last Name:HALE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 COTTONWOOD CT UNIT A
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-7605
Mailing Address - Country:US
Mailing Address - Phone:406-250-3429
Mailing Address - Fax:
Practice Address - Street 1:715 COTTONWOOD CT UNIT A
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-7605
Practice Address - Country:US
Practice Address - Phone:406-250-3429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1190101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional