Larry Dewitt Hairston in Lake Elsinore - Marriage & Family Therapist
Larry Dewitt Hairston - NPI 1801091699
Larry Dewitt Hairston is a Marriage & Family Therapist in Lake Elsinore, California. Larry Dewitt Hairston practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Larry Dewitt Hairston is 1801091699. The last update date is 2014-12-11.
Larry Dewitt Hairston's current location address is 15 Ponte Brava, Lake Elsinore, California. You can contact this provider via phone number 9516016207. The mailing address for Larry Dewitt Hairston is 15 Ponte Brava, Lake Elsinore, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Dewitt Hairston |
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Address | 15 Ponte Brava, Lake Elsinore, California |
Phone Number | 9516016207 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LMFT |
NPI Number Detail
NPI Number | 1801091699 |
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Provider Enumeration Date | 2007-06-20 |
Last Updated Date | 2014-12-11 |
Provider Mailing Address Detail
Address | 15 Ponte Brava |
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City | Lake Elsinore |
State | California (CA) |
Post Code | 925320233 |
Phone Number | 9516016207 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | MFC25534 |
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code issued to Larry Dewitt Hairston by the Centers for Medicare & Medicaid Services?
The Larry Dewitt Hairston has been assigned the NPI (National Provider Identifier) 1801091699 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Larry Dewitt Hairston's facilities are geographically located?
The facilities of Larry Dewitt Hairston are physically situated at the following location: 15 Ponte Brava, Lake Elsinore, CA, 925320233.
What is Larry Dewitt Hairston's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry Dewitt Hairston's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801091699 to Larry Dewitt Hairston?
The Centers for Medicare & Medicaid Services assigned the 1801091699 to Larry Dewitt Hairston on 2007-06-20.
When was the Larry Dewitt Hairston's information last updated?
The Larry Dewitt Hairston's information was last updated on 2014-12-11.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH