Individual
KENESHA T HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8500 EXECUTIVE PARK AVE STE 200, FAIRFAX, VA 22031-2228
(703) 698-5220
(703) 573-2351
Mailing address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
84064
CA
101YM0800X
Mental Health Counselor
84064
CA
104100000X
Social Worker
84064
CA
1041C0700X
Clinical Social Worker
Primary
107074
CA
Other
Enumeration date
09/11/2018
Last updated
01/18/2024
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