Jason Mark Haley, LCDC is a
Counselor - Addiction (substance Use Disorder) based in Vieques, Puerto Rico. Jason Mark Haley is licensed to practice in Texas (license number 13990) and his current practice location is
Calle 3 Villa Borinquen, Vieques, Puerto Rico. He can be reached at his office (for appointments etc.) via phone at
(817) 751-2066.
NPI number for Jason Mark Haley is 1316725138 and his current mailing address is Po Box 878, Vieques, Puerto Rico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316725138.
Healthcare Provider's Profile
| Full Name | Jason Mark Haley |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | Calle 3 Villa Borinquen, Vieques, Puerto Rico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316725138
- Provider Enumeration Date: 09/21/2023
- Last Update Date: 09/21/2023
Medical Identifiers
Medical identifiers for Jason Mark Haley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316725138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13990 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Mark Haley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jason Mark Haley, LCDC
Po Box 878,
Vieques, PR 00765-0878
Ph: (817) 751-2066 | Jason Mark Haley, LCDC
Calle 3 Villa Borinquen,
Vieques, PR 00765
Ph: (817) 751-2066 |
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