| Doctor Name: | SCOTT A HALL |
| NPI Number: | 1003037698 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, NCC |
| License Number: | |
| Business Practice Address: | 5869 Dixie Hwy Clarkston, MI - 483463357 |
| Business Phone Number: | 2489091869 |
| Business Fax Number: | 2486058599 |
| Mailing Address: | 5869 Dixie Hwy, CLARKSTON |
| State: | MI |
| Postal Code: | 483463357 |
| Phone Number: | 2489091869 |
| Fax Number: | 2486058599 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 05/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |