Individual
MARYMIKE HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA , LAC
Contact information
Practice address
246 GARFIELD AVE, CARBONDALE, CO 81623-2133
(970) 596-3377
Mailing address
246 GARFIELD AVE, CARBONDALE, CO 81623-2133
(970) 596-3377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0007777
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NLC.0006576
CO
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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