Doctor Name: | SHAWN HAYES |
NPI Number: | 1447380043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 4466 Ne Devils Lake Blvd Ste B Lincoln City, OR - 973675197 |
Business Phone Number: | 5419941741 |
Business Fax Number: | 5419941882 |
Mailing Address: | 3840 Evergreen Ave, DEPOE BAY |
State: | OR |
Postal Code: | 973419704 |
Phone Number: | 5417642682 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |