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Organization

WELLNESS AND HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEB L. HAYNES M.ED. LPC (THERAPIST)
(907) 841-5330
Entity
Organization

Contact information

Practice address
491 N KNIK ST, WASILLA, AK 99654-7049
(907) 841-5330
(907) 376-9508
Mailing address
491 N KNIK ST, WASILLA, AK 99654-7049
(907) 841-5330
(907) 376-9508

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
528
AK

Other

Enumeration date
04/08/2015
Last updated
04/08/2015
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