Individual
CHINIQUA L RADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
840 JUNIPER CRES STE 112, CHESAPEAKE, VA 23320-2628
(757) 762-1831
Mailing address
840 JUNIPER CRES STE 112, CHESAPEAKE, VA 23320-2628
(757) 762-1831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701011625
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701011625
VA
101YP2500X
Professional Counselor
Primary
0701011625
VA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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