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Individual

MS. CHANDA V HAYNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2333 LINDSEY DR, LOUISVILLE, KY 40216-2937
(502) 807-3229
(502) 448-8760
Mailing address
2613 NE OVERLOOK DR APT 931, HILLSBORO, OR 97124-7651
(971) 270-5432

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C6181
OR
101YP2500X
Professional Counselor
0701005650
VA

Other

Enumeration date
08/20/2011
Last updated
06/27/2024
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