Most Relevant Information
Provider Data
| NPI Number: | 1003267881 |
| Provider Name: | HALEY RUTH CLEMENS LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2016 |
| Last Updated: | 12/11/2020 |
Provider Practice Location
1555 INDUSTRIAL DR
OWOSSO
MI
488679775
Practice Location Phone/Fax
| Phone: | 9897236791 |
| Fax: |
Provider Mailing Location
1555 INDUSTRIAL DR
OWOSSO
MI
488679775
Provider Mailing Phone/Fax
| Phone: | 9897236791 |
| Fax: |