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
Phone: (928) 753-2665
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
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