Individual
TOSHA L HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6440 DOBBIN RD STE D, COLUMBIA, MD 21045-4770
(410) 730-2385
Mailing address
5031 BRADLEY BLVD APT 4, CHEVY CHASE, MD 20815-6575
(857) 919-0722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP14386
MA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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