Individual
MS. CLAUDETTE HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC, LMT
Contact information
Practice address
2503 S LINDEN RD, SUITE 20, FLINT, MI 48532-5462
(810) 730-1721
Mailing address
2503 S LINDEN RD STE 20, FLINT, MI 48532-5462
(810) 730-1721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6451019597
MI
225700000X
Massage Therapist
Primary
7501004321
MI
Other
Enumeration date
11/27/2017
Last updated
05/09/2022
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