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Individual

KENYA LAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHP-R

Contact information

Practice address
306 TURNER RD STE A, NORTH CHESTERFIELD, VA 23225-6432
(804) 840-9376
Mailing address
306 TURNER RD STE A, NORTH CHESTERFIELD, VA 23225-6432
(804) 840-9376

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/25/2024
Last updated
07/25/2024
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