Mary Haynes's National Provider Identifier (NPI) Details
Mary Haynes, LCSW
NPI: 1588202915
Enumeration Date: 2019-12-17
Last updated: 2019-12-17
Sole Proprietor: YES
Status: active
Postal Address: PO BOX 1018, PETALUMA, CA
Phone: 707-815-4604
Primary Practice Address: 6510 PETERSEN RD, PETALUMA, CA
Practice's phone: 707-815-4604