Individual provider · Type 1 NPI

Kristian A. Hairston

Mental Health Counselor · Glassboro, NJ

NPI number 1184094922 Active

Practice location

805 S Academy St
Glassboro, NJ 08028-8310

Call (856) 649-8704 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184094922

Kristian A. Hairston's National Provider Identifier is 1184094922, issued on Oct 6, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glassboro, NJ. The record was last updated on Oct 6, 2015.