Individual
KEVEATTE L HARTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6345 CENTER DR BLDG 14, NORFOLK, VA 23502-4126
(757) 467-8184
(757) 282-2992
Mailing address
6345 CENTER DR BLDG 14, NORFOLK, VA 23502-4126
(757) 467-8184
(757) 282-2992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701011766
VA
101YP2500X
Professional Counselor
Primary
0701011766
VA
Other
Enumeration date
10/03/2022
Last updated
09/04/2024
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