Individual
CHAMANNA SHAKARA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
105 EASTSIDE DR, GEORGETOWN, KY 40324-9797
(502) 320-2779
Mailing address
108 HOURGLASS LN, GEORGETOWN, KY 40324-9033
(502) 503-3379
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304929
KY
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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