Individual
MS. KATINA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, SWT,FAODP
Contact information
Practice address
25 OWEN ST, BELLEVILLE, MI 48111-2921
(734) 697-7880
Mailing address
4127 10TH ST, ECORSE, MI 48229-1211
(313) 717-2921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6803078256
MI
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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