person
Jeffrey Haynes, LADC
Addiction (Substance Use Disorder) Counselor in New Haven, Connecticut
NPI 1275659450

Jeffrey Haynes is an Addiction (Substance Use Disorder) Counselor based in New Haven, CT and is specialized in Addiction (Substance Use Disorder). Jeffrey Haynes practices in New Haven, CT and has the professional credentials of LADC. The NPI Number for Jeffrey Haynes is 1275659450 and holds a License No. (Connecticut).

The current practice location address for Jeffrey Haynes is 1 Long Wharf Dr, New Haven, CT and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624.

Location: 1 Long Wharf Dr, New Haven, CT, 06511-5946
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Provider Profile Details
NPI Number
1275659450
Provider Name
Jeffrey Haynes
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
1 Long Wharf Dr, New Haven, CT, 06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008022626 05 CT
008050283 01 CT MEDICAID (HAYNES)
500000315 05 CT
004082286 05 CT
institution
Provider Business Practice Location Address Details
Address
1 Long Wharf Dr
City
State
Zip
06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider Business Mailing Address Details
Address
1 Long Wharf Dr
City
State
Zip
06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000874 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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