Individual provider · Type 1 NPI

Jordan Alexandra Hall

Mental Health Counselor · San Luis Obispo, CA

NPI number 1003095910 Active

Practice location

277 South St, Suite Y
San Luis Obispo, CA 93401-5039

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1003095910

Jordan Alexandra Hall's National Provider Identifier is 1003095910, issued on Oct 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 26, 2007.