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NPI Code Detail

MEDICARE: MS. GINNY MARY HALEY M.A., N.C.C., L.P.C

MEDICARE: MS. GINNY MARY HALEY M.A., N.C.C., L.P.C
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
1101YP2500XProfessional Counselor1700CO

General Provider Information

NPI Number : 1689722043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GINNY MARY HALEY M.A., N.C.C., L.P.C
Provider Business Mailing Address
First Line : 9350 BRENTWOOD ST
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-4519
Country : US
Telephone Number : 720-939-6839
Fax Number :
Provider Business Practice Location Address
First Line : 4371 E 72ND AVE
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-1471
Country : US
Telephone Number : 303-853-3895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 05/03/2016

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