Individual
NEELY ELIZABETH HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
808 LAY DAM RD, CLANTON, AL 35045-2943
Mailing address
808 LAY DAM RD, CLANTON, AL 35045-2943
(205) 280-7733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3350A
AL
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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