Individual
AMANDA NYCOLE KASSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13817 VILLAGE MILL DR STE R, MIDLOTHIAN, VA 23114-4378
(855) 284-7483
(617) 807-0958
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008067
VA
Other
Enumeration date
01/25/2019
Last updated
07/13/2021
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