MR. Richard Glenn Haynes SR., MSW

NPI #1558691022 in Matteson, Illinois

Provider Information

NPI Number: 1558691022
Entity Type: Individual
Name: MR. Richard Glenn Haynes SR., MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MSW
Enumeration Date: Jan 6, 2010
Last Updated: Jan 6, 2010

Practice Location

Address: 600 HOLIDAY INN PLAZA
Address 2: SUITE 400 ILLINOIS MENTOR
City: Matteson
State: Illinois
ZIP Code: 60443-2241
Phone: (708) 679-9137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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