Individual provider · Type 1 NPI
Jeffery Haynes, PH.D. LPC, LMHC
Mental Health Counselor · Davenport, FL
NPI number
1245559566
Active
Practice location
121 Webb Dr Ste 202
Davenport, FL 33837-3904
Fax (863) 353-2592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH8653 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1245559566
Jeffery Haynes, PH.D. LPC, LMHC's National Provider Identifier is 1245559566, issued on May 26, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davenport, FL. The record was last updated on Jul 24, 2020.