John Darrell Haenny III
Individual provider Active NPI Mental Health Counselor · Mojave, CA
NPI 1689916751 · NPPES record last updated Mar 26, 2013
Key facts
- NPI
- 1689916751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 16940 Highway 14
Suite C
Mojave, CA 93501-1238 - Phone
- (661) 824-5020
- Fax
- (661) 824-5026
- NPI assigned
- Mar 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
16940 Highway 14
Suite C
Mojave, CA 93501-1238
Mailing address
16940 Highway 14
Suite C
Mojave, CA 93501-1238
Phone (661) 824-5020
Other providers in Mojave, CA
- Daniel Erik Grass
- Erin Frances Griesser
- Benjamin Daniel Gutierrez
- Janina Destiny Gutierrez
- Austin Haberman
- Sabrina L Hall
- Sarah Hanlin
- Paul Anthony Hardin
- Shirley Margaret Heathman
- Edward Amir Hillman
All providers in Mojave, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.