Individual
MR. DENNIS DWAIN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.D.C.
Contact information
Practice address
4403 MANCHACA RD, SUITE B, AUSTIN, TX 78745-1680
(512) 383-1036
(512) 383-1044
Mailing address
4403 MANCHACA RD, SUITE B, AUSTIN, TX 78745-1680
(512) 383-1036
(512) 383-1044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1531
TX
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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