BRIAN MAURICE HAIRSTON

CAMDEN, NJ
NPI1255718078
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  H01970967404922)
Enumeration Date2015-04-30
Last Update Date2015-04-30
Business Address
-- BRIAN MAURICE HAIRSTON
1440 SHERIDAN ST APT C8
CAMDEN, NJ 08104-1737
Phone number: 856-655-9354
Mailing Address
-- BRIAN MAURICE HAIRSTON
1440 SHERIDAN ST APT C8
CAMDEN, NJ 08104-1737
Phone number: 856-655-9354