Individual
AUSTIN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, CADC, NCC
Contact information
Practice address
2942 W LAKE ST, CHICAGO, IL 60612-1924
(773) 796-2186
Mailing address
0N032 JEFFERSON ST, WINFIELD, IL 60190-1014
(630) 903-3829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
33794
IL
101YP2500X
Professional Counselor
Primary
180.012260
IL
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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