Doctor Name: | MRS. LORI C HALL |
NPI Number: | 1396013009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LADC, LPC |
License Number: | 000617 |
Business Practice Address: | 227 Main St Danielson, CT - 062392816 |
Business Phone Number: | 8607742323 |
Business Fax Number: | |
Mailing Address: | 21 Mayhew Dr, DAYVILLE |
State: | CT |
Postal Code: | 062411140 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/08/2011 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 000617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |