Individual
AMBER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147-8235
(614) 290-0699
Mailing address
2412 HOLT AVE, COLUMBUS, OH 43219-1451
(614) 290-0699
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487170
—
OH
Enumeration date
06/01/2021
Last updated
03/26/2024
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