Provider Demographics
NPI:1427512417
Name:HALL, JAMES E JR (LCMHC LCAS CSI)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:HALL
Suffix:JR
Gender:M
Credentials:LCMHC LCAS CSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1184 RUFUS BREWER RD
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-6973
Mailing Address - Country:US
Mailing Address - Phone:919-930-1484
Mailing Address - Fax:
Practice Address - Street 1:1758 E 11TH ST
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-2845
Practice Address - Country:US
Practice Address - Phone:919-663-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14626101YM0800X
NC25024101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health