Provider Information for 1578886388
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CORAL J. HAYNES MA, LPCC
Sex: Female
NPI: 1578886388
Last Updated: 2010-03-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1578886388 | ||||||||
| Enumeration Date | 2010-03-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3135 ZION RD STE A HENDERSON, KY 42420-9204 United States Phone: 270-577-3133 | Fax:270-827-9773 | ||||||||
| Primary Practice Address | 3135 ZION RD STE A HENDERSON, KY 42420-9204 United States Phone: 270-577-3133 | Fax:270-827-9773 | ||||||||
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