Individual
MS. ENEIDA SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CCTP, NCC
Contact information
Practice address
5908 OLD AVE, NEWPORT NEWS, VA 23605-2122
(267) 356-8880
Mailing address
5908 OLD AVE, NEWPORT NEWS, VA 23605-2122
(267) 356-8880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701012024
VA
101Y00000X
Counselor
PC010469
PA
106H00000X
Marriage & Family Therapist
37AC00262500
NJ
Other
Enumeration date
02/18/2016
Last updated
04/17/2023
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