Individual
TERRICA MARLANA HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 MEADOWVIEW DR STE 5, DANVILLE, VA 24541-7352
(434) 685-1570
Mailing address
PO BOX 3027, MARTINSVILLE, VA 24115-3027
(276) 403-2582
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1795
VA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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