Provider Demographics
NPI:1477602753
Name:HALL, JEANNE (JEAN) L (RN, LPC , NCC)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE (JEAN)
Middle Name:L
Last Name:HALL
Suffix:
Gender:F
Credentials:RN, LPC , NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3372
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-3372
Mailing Address - Country:US
Mailing Address - Phone:828-437-8538
Mailing Address - Fax:
Practice Address - Street 1:506 E UNION ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3456
Practice Address - Country:US
Practice Address - Phone:828-437-8538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC733101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC38424OtherBCBS