Individual
CARLTON DAVID HALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV.
Contact information
Practice address
2210 WASHINGTON AVE, WACO, TX 76701-1019
(254) 274-3554
Mailing address
229 IVY LN, HEWITT, TX 76643-3436
(254) 715-1635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
64375
TX
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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