Individual
MRS. KENISHA ELISE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, EDS
Contact information
Practice address
236 MUSTANG TRL STE 103, VIRGINIA BEACH, VA 23452-7517
(757) 340-3878
Mailing address
2101 GRANTHAM CT, VIRGINIA BEACH, VA 23464-1547
(757) 572-0959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704011219
VA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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