Jessica Christina Haynes, PRSS
Peer Specialist in Ravenswood, WV. Individual provider (NPI-1).
NPI number1760107544
StatusActive
Last updated in NPPESOct 5, 2022
Details
- NPI
- 1760107544
- Entity type
- Individual (NPI-1)
- Name
- Jessica Christina Haynes
- Credential
- PRSS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2022
- Certification date
- Oct 5, 2022
- Last updated
- Oct 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 21-9104 | WV | Yes |
Other names
- Jessica Christina Angus (Former Name)
Practice location
908 Washington StRavenswood, WV 26164-1143
Phone 304-531-9678
Mailing address
203 Wilson StRavenswood, WV 26164-1533
Phone 304-531-9678
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