Individual
MR. GREGORY JAMES HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
Mailing address
1306 ASHLAND AVE NE, GRAND RAPIDS, MI 49505-5203
(616) 558-6121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
6401013529
MI
Other
Enumeration date
09/06/2013
Last updated
10/17/2013
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