Individual
TANESHIA NETTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(757) 343-1100
Mailing address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(757) 343-1100
(757) 821-2901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007611
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701007611
UNSURE
VA
05
—
98013
—
VA
Enumeration date
03/10/2019
Last updated
09/26/2023
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