Individual
TRAVIS CLARK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII
Contact information
Practice address
2402 TIFT AVE N, TIFTON, GA 31794-1883
(229) 382-7898
(229) 386-5818
Mailing address
2402 TIFT AVE N, TIFTON, GA 31794-1883
(229) 382-7898
(229) 386-5818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
540
GA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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