Individual
ANDREA J HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
2820 BUSINESS CENTER BLVD, MELBOURNE, FL 32940-7103
(321) 799-1863
Mailing address
2455 NEWFOUND HARBOR DR, MERRITT ISLAND, FL 32952-2839
(321) 848-4168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH10672
FL
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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