Individual
MRS. KATRINA DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
5504 BINGHAM DR, PORTSMOUTH, VA 23703-3702
(757) 613-8964
Mailing address
5504 BINGHAM DR, PORTSMOUTH, VA 23703-3702
(757) 613-8964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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