KEITH DANIEL HAIRSTON

REIDSVILLE, NC
NPI1437858826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A17714)
Enumeration Date2023-02-24
Last Update Date2023-02-24
Business Address
KEITH DANIEL HAIRSTON LCMHCA
3240 NC HIGHWAY 14
REIDSVILLE, NC 27320-8718
Phone number: 276-226-5697
Mailing Address
KEITH DANIEL HAIRSTON LCMHCA
3240 NC HIGHWAY 14
REIDSVILLE, NC 27320-8718
Phone number: 276-226-5697