Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 101YM0800X | Mental Health Counselor | SW12352 | FL |
Y | 1041C0700X | Clinical Social Worker | SW12352 | FL |
NPI | 1003042193 |
---|---|
Provider Name | Rachel M Haynes |
First Address | Pensacola, FL 32501-1857 |
Second Address | Pensacola, FL 32501-1857 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2009 |
Last Update Date | 15/07/2021 |