MEDICARE: HALEY BETZWISER

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1902423569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY BETZWISER

Provider Business Mailing Address
First Line	:	5342 W ELM ST
Second Line	:
City	:	MCHENRY
State	:	IL
Zip	:	60050-4029
Country	:	US
Telephone Number	:	815-219-8083
Fax Number	:

Provider Business Practice Location Address
First Line	:	5342 W ELM ST
Second Line	:
City	:	MCHENRY
State	:	IL
Zip	:	60050-4029
Country	:	US
Telephone Number	:	815-219-8083
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	12/17/2025

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Directions to “ HALEY BETZWISER ” Practice Location

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