Individual
KIMBERLY IEISHA HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
710 DENBIGH BLVD STE 6A1, NEWPORT NEWS, VA 23608-4400
(757) 525-4812
Mailing address
749 OLD OYSTER POINT RD, NEWPORT NEWS, VA 23602-7131
(757) 927-8292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013631
VA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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