Individual
LAKESHIA CONQUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
2005 OLD GREENBRIER RD STE 104, CHESAPEAKE, VA 23320-2649
(757) 210-4072
Mailing address
302 BANK ST, SUFFOLK, VA 23434-4524
(757) 316-4414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477155612
—
VA
05
—
30015053770002
—
VA
Enumeration date
09/16/2020
Last updated
11/20/2023
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