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Individual

DR. LACHEATA GRAVES HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-S

Contact information

Practice address
1220 MARSHALL GRAVES RD, YANCEYVILLE, NC 27379
(336) 932-5242
(336) 694-5920
Mailing address
PO BOX 1262, YANCEYVILLE, NC 27379
(336) 694-5922
(336) 694-5920

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2925
NC
101YP2500X
Professional Counselor
Primary
S2925
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102095
NC
Enumeration date
01/30/2007
Last updated
05/06/2014
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