Individual
HEATHER HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1021 W HEMINGWAY BLVD, NAMPA, ID 83651-1763
(208) 505-9990
Mailing address
3559 S CENTENNIAL WAY, BOISE, ID 83706-5609
(509) 599-7247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8861407
ID
Other
Enumeration date
01/19/2022
Last updated
12/15/2025
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