Individual
MR. CHESTER PHILMORE HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA ED
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-4461
(336) 641-6868
Mailing address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-4461
(336) 641-6868
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4066
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301209B
—
NC
Enumeration date
04/11/2007
Last updated
07/09/2007
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