Individual
TANA CATHERYN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
558 MEDLOCK RD, SUITE B, DECATUR, GA 30030-6603
(404) 245-5797
Mailing address
718 DALEROSE AVE, DECATUR, GA 30030-3934
(404) 245-5797
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC004177
GA
Other
Enumeration date
11/21/2009
Last updated
11/21/2009
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