JAMIE RENEE HAIRSTON

KINGMAN, AZ
NPI1790387603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  15285)
Enumeration Date2020-11-15
Last Update Date2020-11-15
Business Address
JAMIE RENEE HAIRSTON MS, LASAC
3240 HUALAPAI MOUNTAIN RD
KINGMAN, AZ 86401-5306
Phone number: 928-753-2665
Mailing Address
JAMIE RENEE HAIRSTON MS, LASAC
3609 N ARIZONA ST
KINGMAN, AZ 86409-0749
Phone number: 520-561-7078
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