| Doctor Name: | JEANETTE HALL |
| NPI Number: | 1386099653 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC-S, LICDC-CS |
| License Number: | ICDC061030 |
| Business Practice Address: | 610 Walnut St Coshocton, OH - 438121655 |
| Business Phone Number: | 7406220033 |
| Business Fax Number: | |
| Mailing Address: | 610 Walnut St, COSHOCTON |
| State: | OH |
| Postal Code: | 438121655 |
| Phone Number: | 7406220033 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2016 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ICDC061030 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |