Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 14007 | TX |
Y | 101YM0800X | Mental Health Counselor | 14007 | TX |
N | 101YP2500X | Professional Counselor | 14007 | TX |
N | 101YS0200X | School Counselor | 14007 | TX |
NPI | 1255592986 |
---|---|
Provider Name | Patricia Haley |
First Address | Waxahachie, TX 75165-4446 |
Second Address | Waxahachie, TX 75165-4446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 25/06/2008 |