Individual provider · Type 1 NPI

Charlene Haynes, CDPT

Addiction (Substance Use Disorder) Counselor · Everett, WA

NPI number 1104471267 Active

Practice location

11627 Airport Rd
Everett, WA 98204-8736

Mailing address

PO Box 12598
Everett, WA 98206-2598

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60953188 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104471267

Charlene Haynes, CDPT's National Provider Identifier is 1104471267, issued on Aug 6, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Everett, WA. The record was last updated on Aug 6, 2019.