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Individual

MRS. KASEY A LOUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
14321 WINTER BREEZE DR STE 43, MIDLOTHIAN, VA 23113-2452
(360) 528-0035
(804) 324-5583
Mailing address
PO BOX 1704, CHESTERFIELD, VA 23832-9107
(360) 528-0035
(804) 451-9078

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
61025518
WA
101YM0800X
Mental Health Counselor
61025518
WA
101YM0800X
Mental Health Counselor
Primary
101YP1600X
Pastoral Counselor
61025518
WA
101YP2500X
Professional Counselor
61025518
WA

Other

Enumeration date
01/10/2020
Last updated
10/09/2022
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