Individual
MS. KAWANNA EVETTE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC, CSOTP
Contact information
Practice address
1634 LONDON BLVD, PORTSMOUTH, VA 23704-2137
(757) 966-1889
Mailing address
1634 LONDON BLVD, PORTSMOUTH, VA 23704-2137
(757) 966-1889
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0812000607
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102377
VA
1041C0700X
Clinical Social Worker
Primary
0904007534
VA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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