Individual
MELISSA KATHLEEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 N RIVERVIEW ST STE 730, WICHITA, KS 67203-4267
(316) 202-2110
(316) 226-8648
Mailing address
345 N RIVERVIEW ST STE 730, WICHITA, KS 67203-4267
(316) 202-2110
(316) 226-8648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
950
KS
1041C0700X
Clinical Social Worker
Primary
6086
KS
Other
Enumeration date
08/28/2018
Last updated
04/29/2024
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