Provider Demographics
NPI:1780464909
Name:COBURN-SESE, HAYLEE KATHERINE
Entity type:Individual
Prefix:
First Name:HAYLEE
Middle Name:KATHERINE
Last Name:COBURN-SESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17830 ARROW BLVD
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-4037
Mailing Address - Country:US
Mailing Address - Phone:909-356-6439
Mailing Address - Fax:909-356-6730
Practice Address - Street 1:17830 ARROW BLVD
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-4037
Practice Address - Country:US
Practice Address - Phone:909-356-6439
Practice Address - Fax:909-356-6730
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)