Individual
BOBBIE SUE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14574 ST.RT,23, WAVERLY, OH 45690
(740) 947-2364
Mailing address
520 E 7TH ST, WAVERLY, OH 45690-1537
(740) 947-6727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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