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Individual
JAMES HALL
Active
Individual
JAMES HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3000921
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22893
HP
MN
01
—
57422KU
BCBS
MN
01
—
84-61062
UBH
MN
Enumeration date
08/03/2006
Last updated
08/05/2009
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