Individual
EVAN LAWRENCE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
474 W VERMONT AVE STE 104, ESCONDIDO, CA 92025-6584
(760) 432-9884
Mailing address
474 W VERMONT AVE STE 104, ESCONDIDO, CA 92025-6584
(760) 432-9884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
85148
CA
1041C0700X
Clinical Social Worker
85148
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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