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1952858060
TIMOTHY HANEY
JACKSON, MI
NPI
1952858060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- TIMOTHY HANEY NCC
3300 LANSING AVE
JACKSON, MI 49202-1621
Phone number: 517-784-2929
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Mailing Address
-- TIMOTHY HANEY NCC
3300 LANSING AVE
JACKSON, MI 49202-1621
Phone number: 517-784-2929
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