Provider Demographics
NPI:1700558848
Name:HAYES, JAMES LLOYD V (CADC 2, ICADC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LLOYD
Last Name:HAYES
Suffix:V
Gender:M
Credentials:CADC 2, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:
Mailing Address - City:IGNACIO
Mailing Address - State:CO
Mailing Address - Zip Code:81137-0899
Mailing Address - Country:US
Mailing Address - Phone:970-563-5700
Mailing Address - Fax:
Practice Address - Street 1:4101 CR22
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303
Practice Address - Country:US
Practice Address - Phone:970-563-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA060140721101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)