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MR. ROBERT JOSEPH HAYWARD CDPT

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

Registrant NPI Number: 1023652195

Individual Registrant:
MR. ROBERT JOSEPH HAYWARD CDPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6228 EAST OLD SCHOOL RD  WELLPINIT, WA 99040 US
Tel: 509-258-7502  Fax: 509-258-4430

Contact information for business:
17918 W BUCKBOARD AVE  MEDICAL LAKE, WA 99022-8566 US
Tel: 509-723-5749  Fax: --

Registration Information:
NPI: 1023652195
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
WA60814037

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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