Hairston, Jamie Renee

Hairston, Jamie Renee is an individual health care provider with primary practice located at 3240 Hualapai Mountain Rd , Kingman AZ 86401-5306. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hairston, Jamie Renee can be contacted via phone (928) 753-2665.

Contact Information

Primary practice address
3240 Hualapai Mountain Rd Kingman AZ 86401-5306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15285 Arizona

Profile Details

NPI number 1790387603
LBN Legal business name Hairston, Jamie Renee
Credentials MS, LASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2020
Last updated Nov 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers