Individual
JAMES HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1132 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1512
(612) 977-1821
(612) 236-1700
Mailing address
1132 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1512
(612) 977-1821
(612) 236-1700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3000921
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22893
HP
MN
01
—
57422KU
BCBS
MN
01
—
84-61062
UBH
MN
Enumeration date
08/03/2006
Last updated
08/05/2009
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