Individual
RICKY LEE KEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
KALEIDOSCOPE COUNSELING AND CASE MANAGEMENT, 1712 AIRLINE BLVD, PORTSMOUTH, VA 23707
(757) 535-9153
Mailing address
1664 TETON CT, CHESAPEAKE, VA 23320-3888
(757) 597-1799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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