Individual
MS. TESHA YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
312 FAIRFAX TER, CHESAPEAKE, VA 23320-4864
(757) 450-8264
Mailing address
312 FAIRFAX TER, CHESAPEAKE, VA 23320-4864
(757) 450-8264
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
VA
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-3188659
—
VA
Enumeration date
07/11/2022
Last updated
07/11/2022
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