Individual
CHRISTIAN DOMINIQUE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAC-1
Contact information
Practice address
845 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
Mailing address
845 E ARROW HWY, POMONA, CA 91767-2535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
02/16/2022
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