Individual
JONATHAN ANDREW HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4577 W PECOS RD, LAVEEN, AZ 85339-9002
(520) 550-6423
(520) 550-6033
Mailing address
4577 W PECOS RD, LAVEEN, AZ 85339-9002
(520) 550-6423
(520) 550-6033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC15316
AZ
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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