Individual
MR. TOM J. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9504 ADMIRAL NIMITZ AVE NE, ALBUQUERQUE, NM 87111-1324
(505) 856-5191
(505) 332-9165
Mailing address
9504 ADMIRAL NIMITZ AVE NE, ALBUQUERQUE, NM 87111-1324
(505) 856-5191
(505) 332-9165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
I-05304
NM
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91005701
—
NM
Enumeration date
01/22/2007
Last updated
09/11/2025
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