Individual
MR. DAVID S HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
3800 PALUXY DR STE 137, TYLER, TX 75703-1652
(903) 830-8334
Mailing address
PO BOX 1027, TYLER, TX 75710-1027
(903) 830-8334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13370
LCDC
TX
Enumeration date
06/22/2016
Last updated
07/08/2019
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