Individual provider · Type 1 NPI

Matthew David Hall, R1557560424

Addiction (Substance Use Disorder) Counselor · Venice, CA

NPI number 1417799321 Active

Practice location

503 Ocean Front Walk
Venice, CA 90291-2403

Call (310) 392-3070 Map

Mailing address

240 E Ivy Ave Apt 1
Inglewood, CA 90302-4945

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1557560424 (CA)

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

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About NPI 1417799321

Matthew David Hall, R1557560424's National Provider Identifier is 1417799321, issued on Jun 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Venice, CA. The record was last updated on Jun 11, 2024.