Jason R Haynes, NCC

NPI #1710526967 in Tucker, Georgia

Provider Information

NPI Number
1710526967
Entity Type
Individual
Name
Jason R Haynes, NCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
NCC
Enumeration Date
Jan 4, 2020
Last Updated
Jan 4, 2020

Practice Location

Address
3754 LAVISTA RD STE 200
City
Tucker
State
Georgia
ZIP Code
30084-5627
Phone
(770) 810-5789

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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