Individual
ELISA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530-4400
(951) 674-9243
Mailing address
265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530-4400
(951) 674-9243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132170
CA
1041C0700X
Clinical Social Worker
132170
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2024
Last updated
03/11/2026
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