Individual
SHEVANTHI U KANAGANAYAGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
5867 TULLOCH SPRING CT, HAYMARKET, VA 20169-6159
(571) 293-2428
Mailing address
5867 TULLOCH SPRING CT, HAYMARKET, VA 20169-6159
(402) 671-1716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10372
NE
Other
Enumeration date
06/12/2015
Last updated
10/22/2025
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