Individual
MR. RICHARD W HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
12781 WORLD PLAZA LN STE 1, FORT MYERS, FL 33907-3989
(239) 939-3700
(239) 939-3889
Mailing address
12781 WORLD PLAZA LN STE 1, FORT MYERS, FL 33907-3989
(239) 939-3700
(239) 939-3889
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT1340
LMFT
FL
Enumeration date
08/13/2006
Last updated
07/08/2007
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