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Individual
KEISHA NICOLE WHITNEY
Active
Individual
KEISHA NICOLE WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP C, QMHP A, CNA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0732003734
VA
101YM0800X
Mental Health Counselor
Primary
0733007314
VA
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
376K00000X
Nurse's Aide
1401096837
VA
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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