Individual
HALEY A LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W WALNUT ST STE 375, PASADENA, CA 91124-0001
(626) 395-7100
Mailing address
100 W WALNUT ST STE 375, PASADENA, CA 91124-0001
(626) 395-7100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
88931
CA
104100000X
Social Worker
Primary
88931
CA
Other
Enumeration date
10/28/2020
Last updated
10/15/2024
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