Provider Demographics
NPI:1851483820
Name:HALL, JOANNE (MFT)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2425
Mailing Address - Country:US
Mailing Address - Phone:707-224-8661
Mailing Address - Fax:707-226-2212
Practice Address - Street 1:740 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2425
Practice Address - Country:US
Practice Address - Phone:707-224-8661
Practice Address - Fax:707-226-2212
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9292106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist