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Individual

TIFFANY M HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3025 HAMAKER CT STE 450, FAIRFAX, VA 22031-2237
(240) 800-5772
Mailing address
3025 HAMAKER CT STE 450, FAIRFAX, VA 22031-2237
(240) 800-5772

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012189
VA
101YM0800X
Mental Health Counselor
16451
FL
101YM0800X
Mental Health Counselor
LC12210
MD

Other

Enumeration date
11/09/2018
Last updated
11/13/2025
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