Individual
ANGELA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
128827
KY
101YP2500X
Professional Counselor
Primary
269797
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100752380
—
KY
Enumeration date
11/13/2017
Last updated
10/20/2022
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