Individual
MISS HALEY NICOLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
995 GATEWAY CENTER WAY STE 300, SAN DIEGO, CA 92102-4550
(619) 398-2156
Mailing address
995 GATEWAY CENTER WAY STE 300, 300, SAN DIEGO, CA 92102-4550
(619) 398-2156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
MPSS-ZGTAUF
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
11/06/2025
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