Doctor Name: | JENNIFER HAYES |
NPI Number: | 1316169600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS 20214 |
Business Practice Address: | 3420 Coach Lane, St. 12c Cameron Park, CA - 95682 |
Business Phone Number: | 5303061131 |
Business Fax Number: | |
Mailing Address: | 4505 Caland Ct., CAMERON PARK |
State: | CA |
Postal Code: | 95682 |
Phone Number: | 5303061131 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 20214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |