Individual
TARA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 LEVI JACKSON MILL RD STE A, LONDON, KY 40744-8325
(606) 657-5504
Mailing address
280 LEVI JACKSON MILL RD STE A, LONDON, KY 40744-8325
(606) 657-5504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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