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Joshua Jay Haynes
Peer Specialist in Coos Bay, Oregon
NPI 1376174003

Joshua Jay Haynes is a Peer Specialist based in North Bend, OR. Joshua Jay Haynes practices in Coos Bay, OR. The NPI Number for Joshua Jay Haynes is 1376174003 and holds a License No. 20-CRM-012 (Oregon).

The current practice location address for Joshua Jay Haynes is 155 S Empire Blvd, Coos Bay, OR and can be reached out via phone at 541-256-4687.

Location: 155 S Empire Blvd, Coos Bay, OR, 97459-3416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376174003
Provider Name
Joshua Jay Haynes
Credential
Provider Entity Type
Individual
Gender
Male
Address
155 S Empire Blvd, Coos Bay, OR, 97459-3416
Phone Number
541-256-4687
Fax Number
Provider Enumeration Date
01/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
155 S Empire Blvd
City
Coos Bay
State
Oregon
Zip
97420-3374
Phone Number
541-256-4687
Fax Number
person
Provider Business Mailing Address Details
Address
155 S Empire Blvd
City
Coos Bay
State
Oregon
Zip
97420-3374
Phone Number
541-256-4687
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
20-CRM-012 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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