Individual
JOHN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
3710 PORTLAND RD NE, SALEM, OR 97301-0312
(971) 703-4623
Mailing address
3710 PORTLAND RD NE, SALEM, OR 97301-0312
(971) 703-4623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-24-3872
OR
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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