Individual
MICHAEL RYAN HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
575 MAPLETON AVE, SUFFIELD, CT 06078-1708
(860) 205-2433
Mailing address
575 MAPLETON AVE, SUFFIELD, CT 06078-1708
(860) 205-2433
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
27.002236
CT
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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