| Doctor Name: | REGINA CAROLYN HALL |
| NPI Number: | 1053462531 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 6401006836 |
| Business Practice Address: | 5775 W Maple Rd West Bloomfield, MI - 483224447 |
| Business Phone Number: | 2488551540 |
| Business Fax Number: | 2488552481 |
| Mailing Address: | 6549 Town Center Dr, Suite A CLARKSTON |
| State: | MI |
| Postal Code: | 483464824 |
| Phone Number: | 2486206400 |
| Fax Number: | 2486206405 |
| NPI Enumeration Date: | 01/13/2007 |
| NPI Last Update Date: | 12/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401006836 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |