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Individual
JENNIFER DIANE HALL
Active
Individual
JENNIFER DIANE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
27551
CA
1041C0700X
Clinical Social Worker
Primary
27551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15705
BBS AWS INTERN NUMBER
CA
05
—
231742
—
CA
01
—
27551
CA BBS
CA
Enumeration date
03/12/2007
Last updated
07/25/2019
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