Individual
PENNY SUE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
347 HOLLY ST, CANTON, GA 30114-9568
(678) 459-2437
(888) 826-6972
Mailing address
PO BOX 328, HOLLY SPRINGS, GA 30142-0006
(678) 459-2437
(888) 826-6972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1348
GA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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