Doctor Name: | KURTIS DEE HAYDEN |
NPI Number: | 1093093866 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LSAC |
License Number: | 127998-6006 |
Business Practice Address: | 33 N 300 E Cedar City, UT - 847202620 |
Business Phone Number: | 4355866654 |
Business Fax Number: | |
Mailing Address: | 33 N 300 E, CEDAR CITY |
State: | UT |
Postal Code: | 847202620 |
Phone Number: | 4355866654 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2011 |
NPI Last Update Date: | 07/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 127998-6006 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |