Individual provider · Type 1 NPI

Larry James Hall, CAC-1

Addiction (Substance Use Disorder) Counselor · Traverse City, MI

NPI number 1265628499 Active

Practice location

1105 6th St
Traverse City, MI 49684-2345

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265628499

Larry James Hall, CAC-1's National Provider Identifier is 1265628499, issued on Sep 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Traverse City, MI. The record was last updated on Sep 20, 2007.