Individual
MRS. LISA RENE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MA
Contact information
Practice address
880 LIBERTY ST NE, SALEM, OR 97301-2450
(503) 932-3977
Mailing address
880 LIBERTY ST NE, SALEM, OR 97301-2450
(503) 932-3977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5134
OR
Other
Enumeration date
02/27/2015
Last updated
01/05/2019
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