Individual
KAYLA MADISON RAE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 CEDAR RD STE 2A, CHESAPEAKE, VA 23322-5527
(757) 302-8362
Mailing address
705 INLET QUAY APT C, CHESAPEAKE, VA 23320-9295
(757) 633-4195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
07-04017484
VA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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