Individual
ANTOINE L HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
744 EMPIRE ST STE 120, FAIRFIELD, CA 94533-5550
(415) 420-0929
Mailing address
744 EMPIRE ST STE 120, FAIRFIELD, CA 94533-5550
(415) 420-0929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
07/09/2025
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