LARRISA JO HALL

KLAMATH FALLS, OR
NPI1043096506
Former NameLARRISA JO WILTROUT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-08-31
Last Update Date2024-11-20
Business Address
LARRISA JO HALL
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
Mailing Address
LARRISA JO HALL
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030