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NPI Code Detail

MEDICARE: CARRIE SUE HAUGHT MS

MEDICARE: CARRIE SUE HAUGHT MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1215677059
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE SUE HAUGHT MS
Provider Business Mailing Address
First Line : 40 ORRS LN
Second Line :
City : TRIADELPHIA
State : WV
Zip : 26059-1455
Country : US
Telephone Number : 304-559-2146
Fax Number :
Provider Business Practice Location Address
First Line : 40 ORRS LN
Second Line :
City : TRIADELPHIA
State : WV
Zip : 26059-1455
Country : US
Telephone Number : 304-559-2146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 03/30/2022

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