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Individual

AUSTIN LEE HALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
761 3RD ST # 1403, NEW MARTINSVILLE, WV 26155-1403
(304) 455-3035
Mailing address
761 3RD ST # 1403, NEW MARTINSVILLE, WV 26155-1403
(304) 455-3035

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2409
WV
101YP2500X
Professional Counselor
2409
WV

Other

Enumeration date
05/06/2019
Last updated
08/16/2021
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