Doctor Name: | MRS. JESSICA HALEY |
NPI Number: | 1073708947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC10404 |
Business Practice Address: | 3388 Aroostook Road Eagle Lake, ME - 04739 |
Business Phone Number: | 2074921036 |
Business Fax Number: | 2074921830 |
Mailing Address: | 38 Boone Rd, MAPLETON |
State: | ME |
Postal Code: | 047574320 |
Phone Number: | 2077641035 |
Fax Number: | 2074321830 |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC10404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |