Individual
HAYLEY JO WALDROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 W POTTS ST, FALFURRIAS, TX 78355-4906
(361) 777-3991
Mailing address
PO BOX 1336, ATTN: SHARLA STARITA, PORTLAND, TX 78374-1185
(361) 777-3991
(361) 777-0610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77016
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
04/24/2019
Last updated
04/24/2019
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