Individual
REBECCA JOANN HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 E 5TH ST, PORT ANGELES, WA 98362-3818
(360) 477-4790
Mailing address
825 E 5TH ST, PORT ANGELES, WA 98362-3818
(360) 477-4790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60695037
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023543584
—
WA
Enumeration date
04/21/2017
Last updated
10/17/2022
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