Larry Haynes
Larry Haynes is a Mental Health Counselor in Mokena, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
9697 191st StMokena, IL 60448-8609
Phone: (312) 815-9660
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (IL) |
|---|
Record details
| NPI number | 1487388963 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 12, 2022 |
| Last updated in NPPES | July 12, 2022 |
| Certification date | July 12, 2022 |
| Mailing address | 18036 Olympia Dr, Country Club Hills, IL 60478-5168 |
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