Individual
JAY HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
800 GALLIA ST STE 600, PORTSMOUTH, OH 45662-4097
(740) 353-4673
Mailing address
800 GALLIA ST STE 600, PORTSMOUTH, OH 45662-4097
(740) 353-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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