Marlo Haley Hadnot

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

N4117236 Issued in CA

Practice address

14469 Rodeo Dr Apt 20
Victorville, CA 92395-4161

Phone

(909) 688-4074

NPI assigned

Nov 24, 2021

Last updated

Nov 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1629735634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14469 RODEO DR APT 20",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954161",
            "telephone_number": "909-688-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14469 RODEO DR APT 20",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954161",
            "telephone_number": "909-688-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADNOT",
        "first_name": "MARLO",
        "middle_name": "HALEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "N4117236",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "N4117236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL & NON MEDICAL TRANSPORTATION",
            "identifier": "695288",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL & NON MEDICAL TRANSPORTATION",
            "identifier": "N4117236",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Gwin-Aguilera, OTR/L
• Judy Ha
• Kylie Ha
• Josephine Habib, RPH
• Shima Hadidchi, M.D.
• Velesa Hagan
• Hai Tran, M.D., Inc.
• Emily Hairston
• Michele L Hale
• Robert Hallworth, DO

• Addiction (Substance Use Disorder) Counselor in Victorville, CA
• Providers in Victorville, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.