Individual
MR. CALVIN L HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW,LICDC.SAP
Contact information
Practice address
10908 GRANDVIEW AVE, CLEVELAND, OH 44104-3529
(121) 632-6251
Mailing address
10908 GRANDVIEW AVE, CLEVELAND, OH 44104-3529
(121) 632-6251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
944083
OH
104100000X
Social Worker
S28730
OH
Other
Enumeration date
01/11/2010
Last updated
06/27/2014
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