Individual
MR. LANCE M. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
140 TUACAHN DR UNIT 43, IVINS, UT 84738-6191
(435) 669-4848
Mailing address
140 TUACAHN DR UNIT 43, IVINS, UT 84738-6191
(435) 669-4848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5199649-3501
UT
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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