Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 2377 | CA |
N | 101Y00000X | Counselor | 88744 | CA |
NPI | 1003367343 |
---|---|
Provider Name | Haley Morris |
First Address | Atlantic Beach, FL 32233-3846 |
Second Address | Jacksonville, FL 32216-5488 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2016 |
Last Update Date | 21/03/2019 |