Halstead, Ian James

Halstead, Ian James is an sole proprietor health care provider with primary practice located at 3855 Shallowford Rd Ste 420 , Marietta GA 30062. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Halstead, Ian James can be contacted via phone (678) 792-8677.

Contact Information

Primary practice address
3855 Shallowford Rd Ste 420 Marietta GA 30062
Phone: (678) 792-8677
Fax: (770) 993-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003598 Georgia

Profile Details

NPI number 1972574895
LBN Legal business name Halstead, Ian James
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Nov 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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