Individual
JON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LPC
Contact information
Practice address
6723 STATE AVE, KANSAS CITY, KS 66102-3020
(913) 871-7600
(913) 328-0339
Mailing address
130 E 5TH ST, P.O. BOX 711, NEWTON, KS 67114-2206
(316) 283-6743
(316) 283-6830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
747
KS
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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