Individual provider · Type 1 NPI

Larry Haynes

Mental Health Counselor · Mokena, IL

NPI number 1487388963 Active

Practice location

9697 191st St
Mokena, IL 60448-8609

Mailing address

18036 Olympia Dr
Country Club Hills, IL 60478-5168

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487388963

Larry Haynes's National Provider Identifier is 1487388963, issued on Jul 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mokena, IL. The record was last updated on Jul 12, 2022.