Individual
CHARLES JOHN HAYNESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 339-9212
(803) 399-9212
Mailing address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 339-9212
(803) 399-9212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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