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Reginald Hairston
Peer Specialist in Baltimore, Maryland
NPI 1568050730

Reginald Hairston is a Peer Specialist based in Baltimore, MD. Reginald Hairston practices in Baltimore, MD. The NPI Number for Reginald Hairston is 1568050730 and holds a License No. PR0374 (Maryland).

The current practice location address for Reginald Hairston is 14 S Broadway, Baltimore, MD and can be reached out via phone at 410-276-1773. You can also correspond with Reginald Hairston through the mailing address at 14 S BROADWAY, BALTIMORE, MD - 21231-1712 (mailing address contact number: 410-276-1773).

Location: 14 S Broadway, Baltimore, MD, 21231-1712
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Provider Profile Details
NPI Number
1568050730
Provider Name
Reginald Hairston
Credential
Provider Entity Type
Individual
Gender
Male
Address
14 S Broadway, Baltimore, MD, 21231-1712
Phone Number
410-276-1773
Fax Number
Provider Enumeration Date
01/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14 S Broadway
City
State
Zip
21231-1712
Phone Number
410-276-1773
Fax Number
person
Provider Business Mailing Address Details
Address
14 S Broadway
City
State
Zip
21231-1712
Phone Number
410-276-1773
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
PR0374 (Maryland)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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