Individual
JOSEPH EUGENE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LPCC, CADC
Contact information
Practice address
708 WESTPORT RD, SUITE 103, ELIZABETHTOWN, KY 42701-3819
(502) 457-8120
(270) 351-1430
Mailing address
708 WESTPORT RD, SUITE 103, ELIZABETHTOWN, KY 42701-3819
(502) 457-8120
(270) 351-1430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1037
KY
101YP2500X
Professional Counselor
1024
KY
106H00000X
Marriage & Family Therapist
Primary
0726
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11574918
CAQH
—
05
—
7100265890
—
KY
05
—
7100265900
—
KY
Enumeration date
06/03/2006
Last updated
10/13/2014
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