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MR. ROBERT JOSEPH HAYWARD CDPT
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1023652195
Individual Registrant:MR. ROBERT JOSEPH HAYWARD CDPT
Gender: M
Not Sole Proprietor
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
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: --
Tel: 509-723-5749 Fax: --
Registration Information:
NPI: 1023652195
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | WA | 60814037 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
