Provider Demographics
NPI:1942082011
Name:HALL, ANNETTE (ACSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 W EVERGLADE AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-0426
Mailing Address - Country:US
Mailing Address - Phone:317-385-9210
Mailing Address - Fax:
Practice Address - Street 1:1425 N RABE AVE UNIT 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-2117
Practice Address - Country:US
Practice Address - Phone:559-255-1446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor