Individual
MRS. AMY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
706 OGLESBY AVE, STE. 112, NORMAL, IL 61761-4616
(309) 585-0241
Mailing address
9 BURGUNDY CT, BLOOMINGTON, IL 61704-8372
(309) 662-8224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.005272
IL
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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