Individual
DR. JOAN MARIE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
3174 E FAIRVIEW RD, MCDONOUGH, GA 30252-8118
(707) 679-0204
Mailing address
3174 E FAIRVIEW RD, MCDONOUGH, GA 30252-8118
(678) 487-6866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009153
GA
164W00000X
Licensed Practical Nurse
LPN091190
GA
Other
Enumeration date
10/12/2016
Last updated
01/24/2024
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