Organization
KLG COUNSELING & CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYUATIA LYNN GASH LCSW (CEO/FOUNDER)
(757) 344-3848
Entity
Organization
Contact information
Practice address
12 MUSKET LN, HAMPTON, VA 23666-5345
(757) 344-3848
Mailing address
12 MUSKET LN, HAMPTON, VA 23666-5345
(757) 344-3848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008950
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831440544
—
VA
Enumeration date
01/19/2018
Last updated
01/19/2018
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