Individual
MS. BEVERLY LYNESE AGNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP-A
Contact information
Practice address
8022 CLOVERTREE CT, NORTH CHESTERFIELD, VA 23235-5382
(804) 304-4778
(804) 331-0150
Mailing address
8022 CLOVERTREE CT, NORTH CHESTERFIELD, VA 23235-5382
(804) 304-4778
(804) 331-0150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732000405
VA
Other
Enumeration date
09/28/2022
Last updated
01/29/2025
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