Individual
CHARLENE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
11627 AIRPORT RD, EVERETT, WA 98204-8736
(425) 493-5310
Mailing address
PO BOX 12598, EVERETT, WA 98206-2598
(425) 493-5310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60953188
WA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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