Organization
JANICE B. HAIRSTON, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE BERNADETTE HAIRSTON LCSW (OWNER/PROVIDER)
(804) 233-3300
Entity
Organization
Contact information
Practice address
400 TURNER RD, STE 5, RICHMOND, VA 23225-6420
(804) 233-3300
(804) 275-0480
Mailing address
5819 S MELBECK RD, RICHMOND, VA 23234-5279
(804) 233-3300
(804) 275-0480
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006223
VA
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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