| William B Haynes Jr M Ed Lpc | |
|
274 Park St Abingdon VA 24212 | |
| (276) 971-9715 | |
| (276) 739-7926 |
| Full Name | William B Haynes Jr M Ed Lpc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 274 Park St, Abingdon, Virginia |
| Authorized Official Name and Position | William B Haynes (PRESIDENT) |
| Authorized Official Contact | 2769719715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William B Haynes Jr M Ed Lpc Po Box 1441 Abingdon VA 24212-1441 Ph: (276) 971-9715 | William B Haynes Jr M Ed Lpc 274 Park St Abingdon VA 24212 Ph: (276) 971-9715 |
| NPI Number | 1861471344 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861471344 | NPI | - | NPPES |
| 5414601 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701001325 (Virginia) | Primary |
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