person
Ms. Kisha Wynnette Mickens, LPC
Professional Counselor in West Point, Virginia
NPI 1447933973

Kisha Wynnette Mickens is a Professional Counselor based in West Point, VA and is specialized in Professional. Kisha Wynnette Mickens practices in West Point, VA and has the professional credentials of LPC. The NPI Number for Kisha Wynnette Mickens is 1447933973 and holds a License No. 0701012722 (Virginia).

The current practice location address for Kisha Wynnette Mickens is 3210 Mattaponi Ave, West Point, VA and can be reached out via phone at 804-767-0973.

Location: 3210 Mattaponi Ave, West Point, VA, 23181-9307
person
Provider Profile Details
NPI Number
1447933973
Provider Name
Kisha Wynnette Mickens
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3210 Mattaponi Ave, West Point, VA, 23181-9307
Phone Number
804-767-0973
Fax Number
Provider Enumeration Date
08/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3210 Mattaponi Ave
City
State
Zip
23181-9307
Phone Number
804-767-0973
Fax Number
person
Provider Business Mailing Address Details
Address
3210 Mattaponi Ave
City
State
Zip
23181-9307
Phone Number
804-767-0973
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701012722 (Virginia)
Definition
Definition to come...
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