Individual
KIAJAH AISHAH MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-A/C
Contact information
Practice address
115 S SYCAMORE ST, PETERSBURG, VA 23803-4279
(434) 294-5601
Mailing address
115 S SYCAMORE ST, PETERSBURG, VA 23803-4279
(434) 294-5601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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