Individual
MRS. QUANEISHA GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRIC
Contact information
Practice address
505 S INDEPENDENCE BLVD STE 213, VIRGINIA BEACH, VA 23452-1150
(757) 376-8167
(757) 452-4447
Mailing address
505 S INDEPENDENCE BLVD STE 213, VIRGINIA BEACH, VA 23452-1150
(757) 376-8167
(757) 452-4447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704014490
VA
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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