Individual
FELECIA DAWN HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-A
Contact information
Practice address
314 FAIRY STREET EXT, MARTINSVILLE, VA 24112-1913
(276) 201-1647
Mailing address
314 FAIRY STREET EXT, MARTINSVILLE, VA 24112-1913
(276) 201-1647
(276) 226-2643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732000041
VA
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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