Individual
MICHELE ROBIN HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPA
Contact information
Practice address
2430 REYNOLDA RD STE 2B, WINSTON SALEM, NC 27106-4626
(336) 291-7477
(336) 217-8044
Mailing address
PO BOX 1083, LEWISVILLE, NC 27023-1083
(336) 291-7477
(336) 217-8044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043675671
—
NC
Enumeration date
12/26/2015
Last updated
03/29/2017
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