Individual
MS. MICHELE ANGELA HAYNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CSOTP, CSA
Contact information
Practice address
2 EATON ST, HAMPTON, VA 23669-4054
(757) 513-4444
Mailing address
2 EATON STREET, SUITE 1103, HAMPTON, VA 23669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103135
VA
101YM0800X
Mental Health Counselor
0812000773
VA
101YP2500X
Professional Counselor
Primary
0701007399
VA
Other
Enumeration date
01/11/2018
Last updated
03/17/2018
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