Individual
JAY ANTHONY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, SAP
Contact information
Practice address
1908 N MILES ST, SUITE 103, ELIZABETHTOWN, KY 42701-8916
(502) 510-3630
Mailing address
117 HIGHLAND AVE, BARDSTOWN, KY 40004-9020
(502) 510-3630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1412
KY
Other
Enumeration date
05/24/2007
Last updated
08/30/2007
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