Individual
TIMOTHY HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC
Contact information
Practice address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-2929
Mailing address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-2929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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