Individual
STACEY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
39 MECHANIC ST, SUITE 222, CAMDEN, ME 04843-1807
(207) 691-9579
Mailing address
91 GREENWOOD AVE, WARREN, ME 04864-4414
(609) 691-9579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC3732
ME
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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