Provider Information for 1184041840
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Ms. DANA HALL MA, LCPC
Sex: Female
NPI: 1184041840
Last Updated: 2020-01-17
Certification Date: 2020-01-17
Certification Date: 2020-01-17
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1184041840 | ||||||||
| Enumeration Date | 2014-03-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11309 DISTINCTIVE DR ORLAND PARK, IL 60467-9490 United States Phone: 708-691-9577 | Fax: | ||||||||
| Primary Practice Address | 11309 DISTINCTIVE DR # 11309 ORLAND PARK, IL 60467-9490 United States Phone: 708-691-9577 | Fax: | ||||||||
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