Individual
CARMEN TANEKA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 N GOLDEN STATE BLVD APT 32, FRESNO, CA 93728-1464
(559) 541-1827
Mailing address
1441 N GOLDEN STATE BLVD APT 32, FRESNO, CA 93728-1464
(559) 541-1827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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