Individual
NYRISHA ANNIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 DIAGONAL RD STE 600, ALEXANDRIA, VA 22314-2840
(703) 283-6178
Mailing address
5113 ROYAL BIRKDALE AVE, WALDORF, MD 20602-5188
(716) 880-9630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0709024954
VA
101YM0800X
Mental Health Counselor
0704016357
VA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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