Doctor Name: | MR. DONALD L HALL |
NPI Number: | 1023399565 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCADC |
License Number: | LCA055 |
Business Practice Address: | 6190 Georgetown Blvd Suite 105 Eldersburg, MD - 217846460 |
Business Phone Number: | 4105529004 |
Business Fax Number: | 4105529003 |
Mailing Address: | 101 Morgnec Rd, Apt. I - 104 CHESTERTOWN |
State: | MD |
Postal Code: | 216201030 |
Phone Number: | 4102820585 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2011 |
NPI Last Update Date: | 08/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LCA055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |