# KLG COUNSELING & CONSULTING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902314271
- **Authorized official:** KENYUATIA LYNN GASH LCSW (CEO/FOUNDER)
- **Authorized official phone:** (757) 344-3848

## Contact information

- **Practice address:** 12 MUSKET LN, HAMPTON, VA 23666-5345
- **Practice address phone:** (757) 344-3848
- **Mailing address:** 12 MUSKET LN, HAMPTON, VA 23666-5345
- **Mailing address phone:** (757) 344-3848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904008950 | VA | Yes |

## Other

- **Enumeration date:** 01/19/2018
- **Last updated:** 01/19/2018
