Individual provider · Type 1 NPI
Jeffrey Haynes, LADC
Addiction (Substance Use Disorder) Counselor · New Haven, CT
NPI number
1275659450
Active
Practice location
1 Long Wharf Dr
New Haven, CT 06511-5946
Fax (203) 781-4624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000874 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275659450
Jeffrey Haynes, LADC's National Provider Identifier is 1275659450, issued on Mar 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Haven, CT. The record was last updated on Jan 24, 2022.