Individual
SALLYANNE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 ALAMEDA RD, LAS VEGAS, NM 87701-3996
(505) 454-9738
Mailing address
47 ALAMEDA RD, PO BOX 806, LAS VEGAS, NM 87701-3996
(505) 454-9738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/02/2014
Last updated
04/23/2014
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