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Theresa Mabel Hall
Peer Specialist in Corbin, Kentucky
NPI 1124660626

Theresa Mabel Hall is a Peer Specialist based in London, KY. Theresa Mabel Hall practices in Corbin, KY. The NPI Number for Theresa Mabel Hall is 1124660626 and holds a License No. 6118 (Kentucky).

The current practice location address for Theresa Mabel Hall is 1203 American Greeting Card Rd, Corbin, KY and can be reached out via phone at 606-528-7010.

Location: 1203 American Greeting Card Rd, Corbin, KY, 40741-9078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124660626
Provider Name
Theresa Mabel Hall
Credential
Provider Entity Type
Individual
Gender
Female
Address
1203 American Greeting Card Rd, Corbin, KY, 40741-9078
Phone Number
606-528-7010
Fax Number
Provider Enumeration Date
10/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1203 American Greeting Card Rd
City
Corbin
State
Kentucky
Zip
40701-4811
Phone Number
606-528-7010
Fax Number
person
Provider Business Mailing Address Details
Address
1203 American Greeting Card Rd
City
Corbin
State
Kentucky
Zip
40701-4811
Phone Number
606-528-7010
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
6118 (Kentucky)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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