Doctor Name: | JANET HAYNES |
NPI Number: | 1003220831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | 401 |
Business Practice Address: | 815 Se Rice Rd Topeka, KS - 666072354 |
Business Phone Number: | 7855595173 |
Business Fax Number: | 7855595046 |
Mailing Address: | 130 E 5th St, Po Box 711 NEWTON |
State: | KS |
Postal Code: | 671142206 |
Phone Number: | 3162836743 |
Fax Number: | 3162836830 |
NPI Enumeration Date: | 06/19/2014 |
NPI Last Update Date: | 06/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |