Individual
TACHIMA V HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
3012 N RICK DR, MONTGOMERY, AL 36108-3819
(334) 306-9228
Mailing address
3012 N RICK DR, MONTGOMERY, AL 36108-3819
(334) 306-9228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3139
AL
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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