Individual
DIANE M. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC, CCCJS
Contact information
Practice address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 846-4300
Mailing address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 846-4300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5204
MA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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