Individual
MISS ONICKA JOVAN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-A
Contact information
Practice address
22 RESEARCH DR STE 101A, HAMPTON, VA 23666-1787
(757) 239-7674
Mailing address
22 RESEARCH DR STE 101A, HAMPTON, VA 23666-1787
(757) 239-7674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732005677
VA
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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