Individual
KIRT BENJAMIN HAYNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
100 BIG MEADOW LN, LOVELOCK, NV 89419-5449
(801) 244-0195
Mailing address
100 BIG MEADOW LN, LOVELOCK, NV 89419-5449
(801) 244-0195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NV
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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