Haney, John Mark

Haney, John Mark is an individual health care provider with primary practice located at 4131 Spicewood Springs Rd Ste O3 , Austin TX 78759-8664. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Haney, John Mark can be contacted via phone (512) 346-9299.

Contact Information

Primary practice address
4131 Spicewood Springs Rd Ste O3 Austin TX 78759-8664
Fax: (512) 264-3729
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 19095 Texas

Profile Details

NPI number 1306040118
LBN Legal business name Haney, John Mark
Credentials PHD, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306040118 NPPES
Texas MEDICAID PENDING

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