Individual
LATORIA HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC, CMFT
Contact information
Practice address
4146 HIGHWAY 278 NE, COVINGTON, GA 30014-2494
(770) 787-3788
Mailing address
45 BALFOUR DR, COVINGTON, GA 30014-8920
(404) 491-9355
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009989
GA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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