Provider Demographics
NPI:1851593818
Name:HALL, LAUREE
Entity Type:Individual
Prefix:
First Name:LAUREE
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREE
Other - Middle Name:
Other - Last Name:STEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7616 E CALLAHAN RD
Mailing Address - Street 2:
Mailing Address - City:CALLAHAN
Mailing Address - State:CA
Mailing Address - Zip Code:96014-9311
Mailing Address - Country:US
Mailing Address - Phone:530-467-4053
Mailing Address - Fax:
Practice Address - Street 1:1515 S OREGON ST
Practice Address - Street 2:SUITE A
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-3425
Practice Address - Country:US
Practice Address - Phone:530-842-3455
Practice Address - Fax:530-842-0632
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker