Individual
HALEY LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
2600 SIXTH ST SW FL 6, CANTON, OH 44710-1702
(330) 830-3393
(234) 521-7091
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA174244
OH
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/02/2019
Last updated
09/18/2020
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