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NPI 1336632926

NPI 1336632926 : JOHN HAYES NEWBERRY MSSW, MA : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1336632926
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN HAYES NEWBERRY MSSW, MA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/08/2018
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    Last Update Date     |    10/23/2025
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Provider Practice Location Address
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    Address Line         |    1930 MARKET ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94102-6228
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    Country              |    US
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    Telephone            |    415-502-7579
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    Fax                  |    415-502-4768
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Provider Business Mailing Address
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    Address Line         |    PO BOX 743749 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90074-3749
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    Country              |    US
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    Telephone            |    415-514-3000
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    Fax                  |    415-502-8175
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    17026
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    License Number State |    CA
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