Individual
CAROL LEIGH MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 FORT LN, PORTSMOUTH, VA 23704-2221
(757) 391-5928
(757) 391-6535
Mailing address
301 FORT LN, PORTSMOUTH, VA 23704-2221
(757) 391-5928
(757) 391-6535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006564
VA
Other
Enumeration date
04/09/2013
Last updated
04/06/2016
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