Provider Demographics
NPI:1881858330
Name:HAFFEY, JULIANN KAYLENE (MA)
Entity Type:Individual
Prefix:
First Name:JULIANN
Middle Name:KAYLENE
Last Name:HAFFEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 S UNIVERSITY RD
Mailing Address - Street 2:STE 202
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6164
Mailing Address - Country:US
Mailing Address - Phone:509-385-0292
Mailing Address - Fax:509-534-9385
Practice Address - Street 1:325 S UNIVERSITY RD
Practice Address - Street 2:STE 202
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6164
Practice Address - Country:US
Practice Address - Phone:509-385-0292
Practice Address - Fax:509-534-9385
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60116244101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health