Individual
CHARLES HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LGSW, LCADC
Contact information
Practice address
1201 CAMBRIA ST, BALTIMORE, MD 21225-2223
(410) 396-1373
Mailing address
34 LIBERTY PKWY, BALTIMORE, MD 21222-3950
(410) 285-1506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA246
MD
1041S0200X
School Social Worker
Primary
G08273
MD
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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