Provider Demographics
NPI:1609263789
Name:HAIR, SHEILA (LMHC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HAIR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 JUBILEE CIR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:WA
Mailing Address - Zip Code:99348-8607
Mailing Address - Country:US
Mailing Address - Phone:509-749-2103
Mailing Address - Fax:509-749-2076
Practice Address - Street 1:2330 EASTGATE ST STE 207
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-1559
Practice Address - Country:US
Practice Address - Phone:509-876-4009
Practice Address - Fax:509-946-1432
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-16
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007863101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health