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Brian Maurice Hairston
Mental Health Counselor in Camden, New Jersey
NPI 1255718078

Brian Maurice Hairston is a Mental Health Counselor based in Camden, NJ and is specialized in Mental Health. Brian Maurice Hairston practices in Camden, NJ. The NPI Number for Brian Maurice Hairston is 1255718078 and holds a License No. H01970967404922 (New Jersey).

The current practice location address for Brian Maurice Hairston is 1440 Sheridan St Apt C8, Camden, NJ and can be reached out via phone at 856-655-9354.

Location: 1440 Sheridan St Apt C8, Camden, NJ, 08104-1737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255718078
Provider Name
Brian Maurice Hairston
Credential
Provider Entity Type
Individual
Gender
Male
Address
1440 Sheridan St Apt C8, Camden, NJ, 08104-1737
Phone Number
856-655-9354
Fax Number
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1440 Sheridan St Apt C8
City
Camden
State
New Jersey
Zip
08104-1737
Phone Number
856-655-9354
Fax Number
person
Provider Business Mailing Address Details
Address
1440 Sheridan St Apt C8
City
Camden
State
New Jersey
Zip
08104-1737
Phone Number
856-655-9354
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
H01970967404922 (New Jersey)
Definition
Definition to come...
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