Individual
JENNIFER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-5725
Mailing address
PO BOX 420, CANVAS, WV 26662-0420
(304) 651-8718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25317
WV
104100000X
Social Worker
Primary
DP00943287
WV
Other
Enumeration date
08/03/2021
Last updated
05/11/2026
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