Hairston, Jan A

Hairston, Jan A is an individual health care provider with primary practice located at 5930 Heisley Rd , Mentor OH 44060-1834. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hairston, Jan A can be contacted via phone (440) 354-9924.

Contact Information

Primary practice address
5930 Heisley Rd Mentor OH 44060-1834
Phone: (440) 354-9924
Fax: (440) 354-5808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0001655 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E0001655 Ohio

Profile Details

NPI number 1285874081
LBN Legal business name Hairston, Jan A
Credentials M.ED., LPCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2009
Last updated Mar 6th, 2009 - about 15 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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