Active NPIIndividual providerSole proprietor

Jason M Haley, LCDC

Counselor, Addiction (Substance Use Disorder) in Vieques, Puerto Rico

NPI Number1316725138
Practice location
Calle 3 Villa Borinquen, Vieques, PR 00765
Fax
—
Last updated
September 21, 2023

Jason Mark Haley is a Counselor, Addiction (Substance Use Disorder) based in Vieques, PR. Jason Mark Haley practices in Vieques, PR and has the professional credentials of LCDC. The NPI Number for Jason Mark Haley is 1316725138 and holds a License No. 13990 (TX). The current practice location address for Jason Mark Haley is Calle 3 Villa Borinquen, Vieques, PR 00765 and can be reached out via phone at 817-751-2066.

Provider Profile Details

NPI Number
1316725138
Provider Name
Jason Mark Haley
Credential
LCDC
Provider Entity Type
Individual
Gender
Male
Address
Calle 3 Villa Borinquen, Vieques, PR 00765
Phone Number
817-751-2066
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2023
Last Update Date
September 21, 2023
Certification Date
September 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle 3 Villa Borinquen
Vieques, PR 00765
Zip
00765
Phone Number
817-751-2066
Vieques, PR 00765Get directions →

Provider Business Mailing Address Details

Address
Po Box 878
Vieques, PR 00765-0878
City
Vieques
State
PR
Zip
00765-0878
Phone Number
817-751-2066

License Information

License Number
13990
License State
TX
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jason M Haley, LCDC?

The NPI number of Jason M Haley, LCDC is 1316725138. It was assigned on September 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Jason M Haley, LCDC?

Jason M Haley, LCDC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in TX under license number 13990.

Where does Jason M Haley, LCDC practice?

The practice location is Calle 3 Villa Borinquen, Vieques, PR 00765. The office can be reached at 817-751-2066 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316725138 directly on the NPPES registry website.

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