Mr. Ke-Vyn T Haymon, LADC
Counselor, Addiction (Substance Use Disorder) in Medford, Massachusetts
1356489397- Practice location
- 26 Madison St, Medford, MA 02155
- Phone
- 617-623-1814
- Fax
- 617-623-1817
- Last updated
- July 8, 2007
Ke-Vyn T.s. Haymon is a Counselor, Addiction (Substance Use Disorder) based in Medford, MA. Ke-Vyn T.s. Haymon practices in Medford, MA and has the professional credentials of LADC. The NPI Number for Ke-Vyn T.s. Haymon is 1356489397 and holds a License No. 879 (MA). The current practice location address for Ke-Vyn T.s. Haymon is 26 Madison St, Medford, MA 02155 and can be reached out via phone at 617-623-1814 and via fax at 617-623-1817.
Provider Profile Details
- NPI Number
- 1356489397
- Provider Name
- Ke-Vyn T.s. Haymon
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 26 Madison St, Medford, MA 02155
- Phone Number
- 617-623-1814
- Fax Number
- 617-623-1817
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 2, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 Madison St
Medford, MA 02155 - City
- Medford
- State
- Massachusetts
- Zip
- 02155
- Phone Number
- 617-623-1814
- Fax Number
- 617-623-1817
Provider Business Mailing Address Details
- Address
- 26 Madison St
2
Medford, MA 02155-2231 - City
- Medford
- State
- MA
- Zip
- 02155-2231
- Phone Number
- 617-623-1814
- Fax Number
- 617-623-1817
License Information
- License Number
- 879
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Ke-Vyn T Haymon, LADC?
The NPI number of Mr. Ke-Vyn T Haymon, LADC is 1356489397. It was assigned on February 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Ke-Vyn T Haymon, LADC?
Mr. Ke-Vyn T Haymon, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 879.
Where does Mr. Ke-Vyn T Haymon, LADC practice?
The practice location is 26 Madison St, Medford, MA 02155. The office can be reached at 617-623-1814 (phone) or 617-623-1817 (fax).
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 1356489397 directly on the NPPES registry website.