Individual
KERRI L HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LCDP, LADC
Contact information
Practice address
55 CUMMINGS WAY, WOONSOCKET, RI 02895-3247
(401) 439-8215
Mailing address
55 CUMMINGS WAY, WOONSOCKET, RI 02895-3247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00506
RI
Other
Enumeration date
06/19/2009
Last updated
09/22/2011
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