Individual
ANDREA G. HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1115 1ST ST SW, ROANOKE, VA 24016-4701
(540) 343-0004
(540) 343-1576
Mailing address
1115 1ST ST SW, ROANOKE, VA 24016-4701
(540) 343-0004
(540) 343-1576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001710
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0488695
VALUE OPTIONS
VA
01
—
2120371
MAMSI
VA
01
—
218898
ANTHEM
VA
05
—
8932832
—
VA
Enumeration date
10/03/2006
Last updated
04/13/2009
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