Individual
MS. JAN VANN HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1017 MEDICAL CENTER PARKWAY, SELMA, AL 36701
(334) 875-2100
(334) 418-1412
Mailing address
45 CAMDEN BYPASS, CAMDEN, AL 36726
(334) 682-4499
(334) 682-4615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC03962
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000021
—
AL
Enumeration date
08/16/2023
Last updated
08/16/2023
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