Individual
KASYIDA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 E MAIN ST, NORFOLK, VA 23510-2205
(757) 524-2458
Mailing address
1016 GENEVA AVE, CHESAPEAKE, VA 23323-4800
(516) 850-6884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011799
VA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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