Individual
MS. NINEVEH HAYSBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 MADISON AVE, KINGSTREE, SC 29556-3619
(757) 310-8178
Mailing address
PO BOX 3622, HAMPTON, VA 23663-0622
(757) 310-8178
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
03/17/2018
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