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George Franklin Haley

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3850 Crenshaw Blvd, Los Angeles, CA 90008-1821

PECOS Enrollment

Based on the most recent information from CMS, provider George Franklin Haley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1962987594
Provider Type
Individual
Full Name
Haley, George Franklin
Gender
Male

Sole Proprietor
No
Enumeration Date
9/28/2018
Last Updated
4/20/2022

Contact Information

Practice Location

3850 Crenshaw Blvd, Los Angeles, CA 90008-1821

(323) 751-3020

Unlisted Fax

Mailing Location

3850 Crenshaw Blvd, Los Angeles, CA 90008-1821

(323) 751-3020

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License LMFT132141 California
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 118398 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

George Franklin Haley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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