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Individual

ISAAC ISAIAH HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
700 PARK AVE, IRONTON, OH 45638-1502
(740) 532-1613
Mailing address
PO BOX 108, IRONTON, OH 45638-0108
(740) 532-1613

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.192083
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0111796
OH
Enumeration date
04/09/2025
Last updated
04/22/2025
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