Provider Demographics
NPI:1346416450
Name:HALL, JANICE S (NCC LPC)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:S
Last Name:HALL
Suffix:
Gender:F
Credentials:NCC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-2782
Mailing Address - Country:US
Mailing Address - Phone:919-554-8575
Mailing Address - Fax:
Practice Address - Street 1:508 E ELM ST
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2782
Practice Address - Country:US
Practice Address - Phone:919-554-8575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1009101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional