Individual
DENAE LATYISHA MENTION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 240-2571
Mailing address
102 HAMPSTEAD CT, HAMPTON, VA 23669-1905
(757) 320-9623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0906007872
VA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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