Individual
ASHLEY KAY FAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
309 COUNTY ST, PORTSMOUTH, VA 23704-3701
(757) 966-1689
Mailing address
2408 PINE TREE WAY, SUFFOLK, VA 23434-2020
(757) 434-6726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009221
VA
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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