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Individual

KEVIN R HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW LADC

Contact information

Practice address
3885 S DECATUR BLVD STE 3010, LAS VEGAS, NV 89103-6814
(702) 875-6618
(702) 566-4575
Mailing address
3885 S DECATUR BLVD STE 3010, LAS VEGAS, NV 89103-6814
(702) 875-6618
(702) 566-4575

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01751L
NV

Other

Enumeration date
10/01/2017
Last updated
10/01/2017
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