Individual provider · Type 1 NPI
Jeffrey William Haley
Addiction (Substance Use Disorder) Counselor · Forks, WA
NPI number
1376015420
Active
Practice location
494 S Forks Ave
Forks, WA 98331-9155
Fax (360) 374-5209
Mailing address
221 N Race St
Port Angeles, WA 98362-3513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 60814905 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376015420
Jeffrey William Haley's National Provider Identifier is 1376015420, issued on Dec 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forks, WA. The record was last updated on Dec 28, 2018.