Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 603319754 | WA |
NPI | 1003249582 |
---|---|
Provider Name | Devon C Haynes |
First Address | Seattle, WA 98118-1968 |
Second Address | Seattle, WA 98118-1968 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2013 |
Last Update Date | 28/01/2020 |