Individual
KIMBERLY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2855 MANGUM RD STE A415, HOUSTON, TX 77092-7493
(832) 768-7559
Mailing address
18906 WHISTLING DUCK DR, CYPRESS, TX 77433-8119
(832) 768-7559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
57257
TX
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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