Individual provider · Type 1 NPI

Carroll Haynes Jr.

Mental Health Counselor · Lafayette, LA

NPI number 1952774986 Active

Practice location

116 Bertrand Dr Ste 100
Lafayette, LA 70506-5632

Call (337) 261-8781 Map

Mailing address

3201 Kaliste Saloom Rd Lot 176
Lafayette, LA 70508-7440

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1952774986

Carroll Haynes Jr.'s National Provider Identifier is 1952774986, issued on Nov 13, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, LA. The record was last updated on Nov 13, 2015.