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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY DEWITT HAIRSTON, LMFT

Active Sole Proprietor

LARRY DEWITT HAIRSTON, LMFT is a Marriage & Family Therapist healthcare provider located in LAKE ELSINORE, California. NPI 1801091699 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · LAKE ELSINORE, CA

Registration Details

NPI Number
1801091699
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2007 (18.968909711458 yrs)
Last Updated
Dec 11, 2014
License
MFC25534 (CA)
Sole Proprietor
Yes

Practice Information

Address
15 PONTE BRAVA
LAKE ELSINORE, CA, 925320233
Browse CA providers · Browse ZIP 92532
Phone
9516016207
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in LAKE ELSINORE, CA

Name Credential NPI
MS. LORI A MINOR-HONORE MFTI 1851461149
MISS TANIA MARCELA FATTORE 1871640110
MR. JOHN PAUL DEVRIES MFT 1932253747
MR. RUBEN TORRES LOPEZ MFTI 1285788919
MRS. JESSICA ANN COATS MFTI 1972657617
MRS. TAMMY B MCCAMISH-HAMEN MFT 1265586879
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.