Individual
SHANARA CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2127 NEW MARKET VILLAGE BLVD, HENRICO, VA 23231-5113
(804) 300-2164
Mailing address
2127 NEW MARKET VILLAGE BLVD, HENRICO, VA 23231-5113
(804) 300-2164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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