Individual
RATONYA NICOLE ENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 HASKINS DR, SUFFOLK, VA 23434-2600
(757) 323-2347
Mailing address
860 HASKINS DR, SUFFOLK, VA 23434-2600
(757) 323-2347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7863-05-001
VA
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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