Individual
JACOB A HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
394 E HUSTON ST, BARBERTON, OH 44203-3048
(234) 716-1694
Mailing address
394 E HUSTON ST, BARBERTON, OH 44203-3048
(234) 716-1694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
180749
OH
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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