Individual
JEFFREY WILLIAM HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
494 S FORKS AVE, FORKS, WA 98331-9155
(360) 374-5109
(360) 374-5209
Mailing address
221 N RACE ST, PORT ANGELES, WA 98362-3513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60814905
WA
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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