Search › California › 1041C0700X
Mary Haynes, LCSW
NPI 1588202915 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6510 Petersen Rd
Petaluma, CA 94952 - Phone
- (707) 815-4604
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California