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Individual

JILL HAIRE

Active
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Individual

JILL HAIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.M.H.C.

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
222315
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
4016
FL
101YM0800X
Mental Health Counselor
Primary
MH8833
FL

Other

Enumeration date
06/24/2010
Last updated
06/24/2010
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