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NPI Code Detail

MEDICARE: ALVIN HALL AADC, SAP, PRSS

MEDICARE: ALVIN HALL AADC, SAP, PRSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorWV

General Provider Information

NPI Number : 1073440046
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALVIN HALL AADC, SAP, PRSS
Provider Business Mailing Address
First Line : 900 HIGHLAND AVE
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-2729
Country : US
Telephone Number : 919-720-6458
Fax Number :
Provider Business Practice Location Address
First Line : 137 8TH AVE W
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2510
Country : US
Telephone Number : 304-208-8369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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