| Klg Counseling & Consulting Services, Llc | |
|
12 Musket Ln Hampton VA 23666-5345 | |
| (757) 344-3848 | |
| Not Available |
| Full Name | Klg Counseling & Consulting Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12 Musket Ln, Hampton, Virginia |
| Authorized Official Name and Position | Kenyuatia Lynn Gash (CEO/FOUNDER) |
| Authorized Official Contact | 7573443848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klg Counseling & Consulting Services, Llc 12 Musket Ln Hampton VA 23666-5345 Ph: (757) 344-3848 | Klg Counseling & Consulting Services, Llc 12 Musket Ln Hampton VA 23666-5345 Ph: (757) 344-3848 |
| NPI Number | 1902314271 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 01/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902314271 | NPI | - | NPPES |
| 1831440544 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008950 (Virginia) | Primary |
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