Individual
MRS. KIMBERLY ROSS PANTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
297 INDEPENDENCE BLVD STE 300, VIRGINIA BEACH, VA 23462-2911
(757) 385-0850
(757) 473-2136
Mailing address
4400 HERMITAGE RD, VIRGINIA BEACH, VA 23455-4525
(757) 509-2139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008219
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186152472
—
VA
Enumeration date
03/29/2019
Last updated
06/11/2019
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