Jordonna Hall | |
803 Haines Blvd Champaign IL 61820-6310 | |
(217) 621-5583 | |
Not Available |
Full Name | Jordonna Hall |
---|---|
Speciality | Community/behavioral Health |
Location | 803 Haines Blvd, Champaign, Illinois |
Authorized Official Name and Position | Jordonna Hall (THERAPIST) |
Authorized Official Contact | 2176215583 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jordonna Hall 803 Haines Blvd Champaign IL 61820-6310 Ph: () - | Jordonna Hall 803 Haines Blvd Champaign IL 61820-6310 Ph: (217) 621-5583 |
NPI Number | 1871908285 |
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Provider Enumeration Date | 06/24/2014 |
Last Update Date | 06/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871908285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 180.008352 (Illinois) | Primary |
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