Individual
KELLY YVETTE WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CSAC
Contact information
Practice address
2856 FOREHAND DR, CHESAPEAKE, VA 23323-2006
(757) 861-9020
Mailing address
1142 IVYSTONE SQ APT G, CHESAPEAKE, VA 23320-7619
(213) 352-7969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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