Individual provider · Type 1 NPI

Sally Ironside Haynes, LMHC, MAC, EMDR CERT

Professional Counselor · Statesville, NC

NPI number 1669734539 Active

Practice location

611 Sullivan Rd
Statesville, NC 28677-3437

Call (704) 762-7400 Map

Mailing address

PO Box 5685
Statesville, NC 28687-5685

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X29553 (FL)
Professional Counselor Primary 101YP2500X19409 (NC)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1669734539

Sally Ironside Haynes, LMHC, MAC, EMDR CERT's National Provider Identifier is 1669734539, issued on Jun 15, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Statesville, NC. The record was last updated on Mar 11, 2024.