Hall, Cory Justin

Hall, Cory Justin is an sole proprietor health care provider with primary practice located at 1219 E Broadway St , Sweetwater TX 79556-4719. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Hall, Cory Justin can be contacted via phone (325) 246-9121.

Contact Information

Primary practice address
1219 E Broadway St Sweetwater TX 79556-4719
Phone: (325) 246-9121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 15146 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15146 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 203092 Texas

Profile Details

NPI number 1215557731
LBN Legal business name Hall, Cory Justin
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2020
Last updated Aug 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215557731 NPPES
Texas MEDICAID 4314676

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