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NPI Code Detail

MEDICARE: COURTNEY HALL MA, LPC-IT

MEDICARE: COURTNEY HALL MA, LPC-IT
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
1101YM0800XMental Health Counselor7286-226WI

General Provider Information

NPI Number : 1316646144
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY HALL MA, LPC-IT
Provider Business Mailing Address
First Line : 4540 S 124TH ST APT 3
Second Line :
City : GREENFIELD
State : WI
Zip : 53228-2482
Country : US
Telephone Number : 414-595-2849
Fax Number :
Provider Business Practice Location Address
First Line : N91W17194 APPLETON AVE STE 204
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-2083
Country : US
Telephone Number : 414-622-0420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2023
Last Update Date : 03/14/2023

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Directions to “ COURTNEY HALL MA, LPC-IT” Practice Location

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