Individual
TONYA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
5325 W BURLEIGH ST, MILWAUKEE, WI 53210-1623
(414) 810-0550
Mailing address
2465 W VINE ST, MILWAUKEE, WI 53205-1419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17633-130
WI
101YP2500X
Professional Counselor
Primary
3956-226
WI
Other
Enumeration date
06/23/2018
Last updated
06/23/2018
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