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Individual

TIPTON KESNER SHEETS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LMFT, PLC

Contact information

Practice address
603 WORMLEY CREEK DR, YORKTOWN, VA 23692-4235
(757) 898-9022
(408) 676-0288
Mailing address
603 WORMLEY CREEK DR, YORKTOWN, VA 23692-4235
(757) 898-9022
(408) 676-0288

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701000596
VA
106H00000X
Marriage & Family Therapist
Primary
0717000220
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007306213
AETNA
VA
01
081541
ANTHEM/BCBS
VA
01
132287
TRICARE/CHAMPUS/MHN
VA
05
54-0537-8
VA
Enumeration date
07/17/2006
Last updated
09/11/2025
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