Individual
DAVETTE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1227 ANSEL RD, CLEVELAND, OH 44108-3323
(216) 421-0662
Mailing address
1227 ANSEL RD, CLEVELAND, OH 44108-3323
(216) 421-0662
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150669
OH
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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