Individual
TAMMY HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 PINEY FOREST RD STE 305A, DANVILLE, VA 24540-2869
(336) 340-3898
Mailing address
625 PINEY FOREST RD STE 305A, DANVILLE, VA 24540-2869
(336) 340-3898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1090-0670589
VA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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