Individual
DYLAN MATTHEW HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHP
Contact information
Practice address
4110 N WATER TOWER PL, MOUNT VERNON, IL 62864-6295
(618) 242-8266
Mailing address
1301 LEININGER ROAD, FAIRFIELD, IL 62837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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