Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 4871 | LA |
Y | 101YS0200X | School Counselor | AN 503785 | LA |
NPI | 1174967848 |
---|---|
Provider Name | Mr. Christopher Sherrod Hall |
First Address | Oberlin, LA 70655 |
Second Address | Oberlin, LA 70655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2013 |
Last Update Date | 24/04/2013 |