Individual
KAYLA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 COLLEGE DR, ANDERSON, IN 46012-3430
(765) 643-6017
Mailing address
PO BOX 454, DALEVILLE, IN 47334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000778A
IN
Other
Enumeration date
06/28/2013
Last updated
06/30/2013
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