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MARYMIKE HALEY MA , LAC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1831646082

Individual Registrant:
 MARYMIKE  HALEY MA , LAC
Gender: F
Sole Proprietor

Location and contact information for practice:
246 GARFIELD AVE  CARBONDALE, CO 81623-2133 US
Tel: 970-596-3377  Fax: --

Contact information for business:
246 GARFIELD AVE  CARBONDALE, CO 81623-2133 US
Tel: 970-596-3377  Fax: --

Registration Information:
NPI: 1831646082
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CONLC.0006576
N101YA0400XBehavioral Health & Social Service Providers
Counselor
ACB.0007777

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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