Individual
MR. ADAM M HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.T.
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Mailing address
902 MOWERY RD, PERRYSVILLE, OH 44864-9696
(419) 564-1786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C.1500495-TRNE
OH
101YM0800X
Mental Health Counselor
Primary
C.1500495-TRNE
OH
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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