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Individual

MR. RICKY NELSON HALL II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1500 LADY ST, COLUMBIA, SC 29201-3402
(803) 779-1995
Mailing address
630 CANALSIDE ST UNIT 2022, COLUMBIA, SC 29201-6033

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7182
SC
101YP2500X
Professional Counselor
7501
CA

Other

Enumeration date
06/28/2020
Last updated
06/28/2020
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