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Individual
JENNIFER HAYNES
Active
Individual
JENNIFER HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC, MS, LMT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171W00000X
Contractor
227014011
IL
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/14/2014
Last updated
01/08/2020
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