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Individual

TIMOTHY SHAWN HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., NCC, LPCA

Contact information

Practice address
4643 HIGHWAY 899, PIPPA PASSES, KY 41844-9033
(606) 634-0179
Mailing address
4643 HIGHWAY 899, PIPPA PASSES, KY 41844-9033
(606) 634-0179

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-0581
KY

Other

Enumeration date
07/05/2007
Last updated
07/08/2007
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