Individual
SHAYA HADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
718 COLUMBIA ST, NEWPORT, KY 41071-1837
(859) 331-3292
(859) 578-2864
Mailing address
502 FARRELL DRIVE, C/O DEANA COMBS, COVINGTON, KY 41011
(859) 578-3204
(859) 578-3273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254034
KY
1041C0700X
Clinical Social Worker
7554
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
02/05/2016
Last updated
09/19/2023
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