Individual
JOHN L HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLMHP, PLADC
Contact information
Practice address
4600 VALLEY RD STE 425, LINCOLN, NE 68510-4855
(402) 817-7312
Mailing address
9633 HOLLOW TREE DR, LINCOLN, NE 68512-9535
(402) 817-7312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1126
NE
101YM0800X
Mental Health Counselor
Primary
11611
NE
Other
Enumeration date
10/20/2017
Last updated
02/13/2019
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