Individual
MRS. KIMBERLY ALLESSYA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2021 CUNNINGHAM DR, HAMPTON, VA 23666
(999) 999-9999
Mailing address
106 CROSSING WATERS WAY, YORKTOWN, VA 23690-1001
(910) 988-3604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701009879
VA
Other
Enumeration date
04/27/2021
Last updated
06/15/2021
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