person
Lisa Wagoner Hairston, LCMHC
Professional Counselor in Clemmons, North Carolina
NPI 1821405952

Lisa Wagoner Hairston is a Professional Counselor based in Clemmons, NC and is specialized in Professional. Lisa Wagoner Hairston practices in Clemmons, NC and has the professional credentials of LCMHC. The NPI Number for Lisa Wagoner Hairston is 1821405952 and holds a License No. 10908 (North Carolina).

The current practice location address for Lisa Wagoner Hairston is 2255 Lewisville Clemmons Rd Ste E, Clemmons, NC and can be reached out via phone at 336-766-0505.

Location: 2255 Lewisville Clemmons Rd Ste E, Clemmons, NC, 27012-7460
person
Provider Profile Details
NPI Number
1821405952
Provider Name
Lisa Wagoner Hairston
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
2255 Lewisville Clemmons Rd Ste E, Clemmons, NC, 27012-7460
Phone Number
336-766-0505
Fax Number
Provider Enumeration Date
07/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2255 Lewisville Clemmons Rd Ste E
City
State
Zip
27012-7460
Phone Number
336-766-0505
Fax Number
person
Provider Business Mailing Address Details
Address
2255 Lewisville Clemmons Rd Ste E
City
State
Zip
27012-7460
Phone Number
336-766-0505
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
10908 (North Carolina)
Definition
Definition to come...
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