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Individual
TARA LEIGH HALL
Active
Individual
TARA LEIGH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
005566
PA
101YM0800X
Mental Health Counselor
Primary
005566
PA
101YP2500X
Professional Counselor
005566
PA
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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