| NPI | 1215618327 |
|---|---|
| Professional Name | JONATHAN ANDREW HALEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LASAC15316) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |