| Doctor Name: | MS. KIM I HAEG |
| NPI Number: | 1255487526 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS |
| License Number: | |
| Business Practice Address: | 3325 Harold Dr Ne Salem, OR - 973051339 |
| Business Phone Number: | 5033632021 |
| Business Fax Number: | |
| Mailing Address: | 3262 Hollywood Dr Ne, SALEM |
| State: | OR |
| Postal Code: | 973051932 |
| Phone Number: | 5033634587 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 01/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |