Organization
JORDONNA HALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDONNA HALL LPCP (THERAPIST)
(217) 621-5583
Entity
Organization
Contact information
Practice address
803 HAINES BLVD, CHAMPAIGN, IL 61820-6310
(217) 621-5583
Mailing address
803 HAINES BLVD, CHAMPAIGN, IL 61820-6310
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180.008352
IL
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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