Individual
JEANETTE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC-CS
Contact information
Practice address
610 WALNUT ST, COSHOCTON, OH 43812-1655
(740) 622-0033
Mailing address
610 WALNUT ST, COSHOCTON, OH 43812-1655
(740) 622-0033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC061030
OH
101YP2500X
Professional Counselor
Primary
E.0701109
OH
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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