Individual
CHENIQUA BENE' GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4006 VICTORY BLVD STE J239, PORTSMOUTH, VA 23701-2844
(757) 695-8894
Mailing address
4006 VICTORY BLVD STE J239, PORTSMOUTH, VA 23701-2844
(757) 695-8894
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006931
VA
Other
Enumeration date
06/30/2020
Last updated
07/30/2020
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