Individual
KATHLEEN ELIZABETH BENAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2513 STRAWBRIDGE RD, VIRGINIA BEACH, VA 23456-3944
(757) 515-0331
Mailing address
2513 STRAWBRIDGE RD, VIRGINIA BEACH, VA 23456-3944
(757) 515-0331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701010209
VA
101YP2500X
Professional Counselor
Primary
0701010209
VA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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