Most Relevant Information
Provider Data
| NPI Number: | 1003354291 |
| Provider Name: | MARLYNN RAE HALL LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | PC009370 |
Most Important Dates
| Enumeration Date: | 02/07/2017 |
| Last Updated: | 02/10/2021 |
Provider Practice Location
1401 S 4TH ST
PHILADELPHIA
PA
191475948
Practice Location Phone/Fax
| Phone: | 2153391070 |
| Fax: |
Provider Mailing Location
1401 S 4TH ST
PHILADELPHIA
PA
191475948
Provider Mailing Phone/Fax
| Phone: | 2153391070 |
| Fax: |