Individual
CRYSTAL ANN RANDOLPH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 W 11TH AVE, SUITE A, EUGENE, OR 97402-3758
(541) 868-0661
(541) 868-0660
Mailing address
436 DEAN AVE, EUGENE, OR 97404-3413
(541) 915-0770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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