Individual
MR. JEREMY CLAYTON HAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ED.S
Contact information
Practice address
701 N ENGLEWOOD DR, CRAWFORDSVILLE, IN 47933-9744
(765) 361-9767
(765) 361-0374
Mailing address
4577 W 3RD ST, WEST LEBANON, IN 47991-8089
(812) 371-1537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001953A
IN
Other
Enumeration date
03/20/2007
Last updated
11/08/2013
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