Individual
MR. KENNETH GEORGE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
(928) 776-6161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW1120I
AZ
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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