Individual
JAZAR HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSC
Contact information
Practice address
6532 N MASCHER ST, PHILADELPHIA, PA 19120-1040
(267) 401-3102
Mailing address
6532 N MASCHER ST, PHILADELPHIA, PA 19120-1040
(267) 401-3102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH001256
PA
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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