Individual
MARANDA HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9701 APOLLO DR, UPPER MARLBORO, MD 20774-4783
(240) 487-6934
Mailing address
2111 WALSHIRE AVE, BALTIMORE, MD 21214-1045
(443) 791-4908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC15032
MD
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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