Organization
PENINSULA OUTREACH FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEQWANA GENEVA ROGERS LPC (CEO/OWNER)
(804) 835-1799
Entity
Organization
Contact information
Practice address
1915 SEWARD DR, HAMPTON, VA 23663-1122
(804) 835-1799
Mailing address
1915 SEWARD DR, HAMPTON, VA 23663-1122
(804) 835-1799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
04/30/2022
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