Individual provider · Type 1 NPI
Jennifer Nichole Hall, LAC
Mental Health Counselor · Conway, AR
NPI number
1306179726
Active
Practice location
4300B Freedom Dr
Conway, AR 72034-8192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A0905055 (AR) |
Mental Health Counselor: Definition to come...
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About NPI 1306179726
Jennifer Nichole Hall, LAC's National Provider Identifier is 1306179726, issued on Sep 16, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conway, AR. The record was last updated on Sep 16, 2009.