Individual
MALACHI HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8522 BROXBURN LN, WAXHAW, NC 28173-9054
(704) 845-8702
Mailing address
PO BOX 2686, MATTHEWS, NC 28106-2686
(704) 845-8702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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