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Individual
MADISON HALL
Active
Individual
MADISON HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14646
CA
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/13/2022
Last updated
10/01/2024
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