Individual
MRS. ANNETTE C. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
618 SOUTH DIVISION, SANDPOINT, ID 83864
(208) 263-0301
Mailing address
432572 HIGHWAY 20, NEWPORT, WA 99156-9745
(509) 671-2954
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61308249
WA
104100000X
Social Worker
LW60338101
WA
1041C0700X
Clinical Social Worker
LCSW-33113
ID
1041C0700X
Clinical Social Worker
Primary
LW60338101
WA
Other
Enumeration date
09/16/2013
Last updated
10/14/2025
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