Individual
GORDON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2119 DIVISION AVE, YORK, NE 68467-1009
(402) 362-3353
Mailing address
2119 DIVISION AVE, YORK, NE 68467-1009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1397
NE
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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