Individual
MISS JUSTICE HAYZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 W CAMPUS RD # 43054, NEW ALBANY, OH 43054-8722
(937) 284-1391
Mailing address
366 GILBERT AVE, FAIRBORN, OH 45324-3208
(404) 234-9141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.185451
OH
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
CDCA.185451
OH
175T00000X
Peer Specialist
Primary
APS.002598
OH
175T00000X
Peer Specialist
YPS.000023
OH
Other
Enumeration date
06/14/2022
Last updated
09/11/2023
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