Thomas Lee Haynie, CDCA
Counselor, Addiction (Substance Use Disorder) in Lorain, OH. Individual provider (NPI-1).
NPI number1902467756
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1902467756
- Entity type
- Individual (NPI-1)
- Name
- Thomas Lee Haynie
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2019
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.166486 | OH | Yes |
Practice location
6150 Park Square Dr Ste BLorain, OH 44053-4153
Phone 440-984-3882
Mailing address
1925 Hayes AveSandusky, OH 44870-4737
Phone 419-557-5177
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All 97 Addiction (Substance Use Disorder) Counselor providers in Lorain · All 2,400 providers in Lorain
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