Provider Demographics
NPI:1366175176
Name:HALL, CLIFF RAGAN II (PLPC, NCC)
Entity type:Individual
Prefix:
First Name:CLIFF
Middle Name:RAGAN
Last Name:HALL
Suffix:II
Gender:M
Credentials:PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 N NEW HAMPSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-2830
Mailing Address - Country:US
Mailing Address - Phone:985-635-6943
Mailing Address - Fax:
Practice Address - Street 1:430 N NEW HAMPSHIRE ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-2830
Practice Address - Country:US
Practice Address - Phone:985-635-6943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8721101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional