Provider Demographics
NPI:1891060281
Name:HALL, CLAUDIA MARCUA (LAC, CCS, CCDP)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:MARCUA
Last Name:HALL
Suffix:
Gender:F
Credentials:LAC, CCS, CCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 BRADFORD DR
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-3919
Mailing Address - Country:US
Mailing Address - Phone:337-349-5979
Mailing Address - Fax:337-291-5407
Practice Address - Street 1:129 BRADFORD DR.
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520
Practice Address - Country:US
Practice Address - Phone:337-349-5979
Practice Address - Fax:337-291-5407
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALAC #921101YA0400X
LACCGC #138101YA0400X
LACCDP #1078101YA0400X
LACCS #125101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)