Individual
LEAH ELLEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1720 BEACON ST, FORT WAYNE, IN 46805-4749
(260) 373-7500
Mailing address
7531 MILL RUN RD, FORT WAYNE, IN 46819-1848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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