person
Mrs. Cynthia Dianne Hairston, LMHC
Mental Health Counselor in Palm Coast, Florida
NPI 1437276912

Cynthia Dianne Hairston is a Mental Health Counselor based in Palm Coast, FL and is specialized in Mental Health. Cynthia Dianne Hairston practices in Palm Coast, FL and has the professional credentials of LMHC. The NPI Number for Cynthia Dianne Hairston is 1437276912 and holds a License No. MH12217 (Florida).

The current practice location address for Cynthia Dianne Hairston is 1 Hargrove Grade Ste 1B, Palm Coast, FL and can be reached out via phone at 386-643-3115 and via fax at 386-276-3474.

Location: 1 Hargrove Grade Ste 1B, Palm Coast, FL, 32164-7867
person
Provider Profile Details
NPI Number
1437276912
Provider Name
Cynthia Dianne Hairston
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
1 Hargrove Grade Ste 1B, Palm Coast, FL, 32164-7867
Phone Number
386-643-3115
Fax Number
386-276-3474
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH12217 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1 Hargrove Grade Ste 1B
City
State
Zip
32137-5116
Phone Number
386-643-3115
Fax Number
386-276-3474
person
Provider Business Mailing Address Details
Address
1 Hargrove Grade Ste 1B
City
State
Zip
32137-5116
Phone Number
386-643-3115
Fax Number
386-276-3474
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH12217 (Florida)
Definition
Definition to come...
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