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General NPI Number Information
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NPI Number | 1962895318
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Entity Type | Individual
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Provider Name | ANDRE HALEY PH.D., LCDP, LMSW
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Gender | Male
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 19 LAMBSON LN # B-102
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City | NEW CASTLE
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State | DE
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Zip | 19720-2118
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Country | US
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Telephone | 302-337-5513
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Fax |
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Provider Business Mailing Address
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Address Line | 3113 N VAN BUREN ST
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City | WILMINGTON
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State | DE
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Zip | 19802-2939
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Country | US
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Telephone | 302-563-8399
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1460
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | Q3-0000164
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH004301
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC001866
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CD-0000100
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License Number State | DE
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