Individual
MS. TEDDI R. KENYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12800 W CREEK PKWY, RICHMOND, VA 23238-1116
(804) 517-1241
Mailing address
PO BOX 319, TOPPING, VA 23169-0319
(804) 517-1241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701013150
VA
Other
Enumeration date
07/10/2023
Last updated
12/21/2023
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