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Individual

AISHAH NAOMI KHURSHEED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, LPC

Contact information

Practice address
739 THIMBLE SHOALS BLVD, STE 704 A/B, NEWPORT NEWS, VA 23606
(757) 897-5756
(757) 765-6743
Mailing address
739 THIMBLE SHOALS BLVD, STE 704 A/B, NEWPORT NEWS, VA 23606
(757) 897-5756
(757) 765-6743

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0717001597
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
812562189
BLACK PINE COUNSELING LLC
VA
Enumeration date
04/21/2020
Last updated
03/28/2025
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