Individual
KACHINA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2 EATON ST STE 506, HAMPTON, VA 23669-4055
(757) 262-2040
Mailing address
117 GRIFFIN ST, YORKTOWN, VA 23693-2531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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