Doctor Name: | MS. CLAUDIA MARCUA HALL |
NPI Number: | 1891060281 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC, CCS, CCDP |
License Number: | CCGC #138 |
Business Practice Address: | 129 Bradford Dr. Carencro, LA - 70520 |
Business Phone Number: | 3373495979 |
Business Fax Number: | 3372915407 |
Mailing Address: | 129 Bradford Dr, CARENCRO |
State: | LA |
Postal Code: | 705203919 |
Phone Number: | 3373495979 |
Fax Number: | 3372915407 |
NPI Enumeration Date: | 03/19/2012 |
NPI Last Update Date: | 03/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CCGC #138 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |