Individual
SHANEQUA MARTINE VASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4037 TAYLOR RD STE D, CHESAPEAKE, VA 23321-5500
(757) 512-7212
Mailing address
3121 HULL ST, PORTSMOUTH, VA 23704-6133
(757) 537-4820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014218
VA
Other
Enumeration date
01/27/2025
Last updated
02/04/2025
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