Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA WAGONER HAIRSTON, LCMHC
ActiveLISA WAGONER HAIRSTON, LCMHC is a Professional Counselor healthcare provider located in CLEMMONS, North Carolina. NPI 1821405952 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CLEMMONS, NC
Registration Details
- NPI Number
- 1821405952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2014 (12.043925944544 yrs)
- Last Updated
- Oct 26, 2021
- Licenses
-
10908 (NC)10908 (NC)
Practice Information
- Address
-
2255 LEWISVILLE CLEMMONS RD STE ECLEMMONS, NC, 270127460Browse NC providers · Browse ZIP 27012
- Phone
- 3367660505
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in CLEMMONS, NC
| Name | Credential | NPI |
|---|---|---|
| MR. RANDY J. JOHNSON | LCMHC | 1790745404 |
| PATRICIA GILLETTE WEAVER | LPC | 1619047727 |
| SUSANNAH SHARPE CECIL | LPC | 1740493881 |
| LIA DELAND | — | 1003093923 |
| RICHARD KIRK WILLIARD | LPC | 1871764951 |
| ANDREA JEAN MILES | MAPC, NCC | 1396088662 |
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.