Individual
DOYLE K HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
621 S ERIE HWY, HAMILTON, OH 45011-4315
(513) 869-0046
Mailing address
3717 DETROIT AVE, DAYTON, OH 45416-1905
(513) 306-3318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.166106
OH
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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