Individual
JERMAINE ANTHONY HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
310 CEDAR LN # 3B, TEANECK, NJ 07666-3441
(201) 541-8600
Mailing address
60 W 142ND ST APT 17P, NEW YORK, NY 10037-1114
(929) 282-3240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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