Organization
INTEGRATED INDIVIDUAL AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENESHA T HALL LCSW (BEHAVIORAL HEALTH THERAPIST)
(626) 344-4930
Entity
Organization
Contact information
Practice address
8401 MAYLAND DR # 5035, RICHMOND, VA 23294-4648
(703) 688-2746
Mailing address
PO BOX 1758, WOODBRIDGE, VA 22195-1758
(703) 688-2746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/20/2024
Last updated
12/18/2024
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