Doctor Name: | MARO R HALL |
NPI Number: | 1265589204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 5268 |
Business Practice Address: | 60 Cottage St Main St Human Resources Brien Center Great Barrington, MA - 012301302 |
Business Phone Number: | 4135289156 |
Business Fax Number: | 4135288187 |
Mailing Address: | Po Box 402, OTIS |
State: | MA |
Postal Code: | 012530402 |
Phone Number: | 4132697730 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5268 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |