Individual
IAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 SOUTHVIEW DR, NICHOLASVILLE, KY 40356-2008
(859) 885-6315
Mailing address
324 SOUTHVIEW DR, NICHOLASVILLE, KY 40356-2008
(859) 885-6315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
01/11/2022
Last updated
01/11/2022
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