Individual provider · Type 1 NPI

Keyonta Shannon Hall

Counselor · Crystal, MN

NPI number 1902529415 Active

Practice location

5700 Bottineau Blvd Ste 210
Crystal, MN 55429-3184

Call (763) 330-2774 Map

Mailing address

174 Old Farm Dr
Great Meadows, NJ 07838-6000

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1902529415

Keyonta Shannon Hall's National Provider Identifier is 1902529415, issued on Sep 20, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Crystal, MN. The record was last updated on Sep 20, 2022.