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Individual

CARRIE J HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15221 STATE ROUTE 772, PIKETON, OH 45661
(740) 250-9001
Mailing address
1732 JACKSON ST, PORTSMOUTH, OH 45662-4427
(740) 354-3321

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.168732
OH
101YM0800X
Mental Health Counselor
QMHS
OH

Other

Enumeration date
05/03/2018
Last updated
04/04/2019
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