Individual
ADAM L HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
5117 MOUNT ROYAL DR, LOS ANGELES, CA 90041-1331
(818) 317-2661
Mailing address
PO BOX 412214, LOS ANGELES, CA 90041-9214
(818) 317-2661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
74673
CA
Other
Enumeration date
09/27/2013
Last updated
11/20/2020
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