Individual provider · Type 1 NPI

Thomas Lee Haynie, CDCA

Addiction (Substance Use Disorder) Counselor · Lorain, OH

NPI number 1902467756 Active

Practice location

6150 Park Square Dr Ste B
Lorain, OH 44053-4153

Mailing address

1925 Hayes Ave
Sandusky, OH 44870-4737

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.166486 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1902467756

Thomas Lee Haynie, CDCA's National Provider Identifier is 1902467756, issued on Jun 24, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lorain, OH. The record was last updated on Jun 15, 2020.