MR. Kenneth Marvin Shirley, LPC
NPI #1073079927 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1073079927
- Entity Type
- Individual
- Name
- MR. Kenneth Marvin Shirley, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Feb 15, 2019
- Last Updated
- Feb 15, 2019
Practice Location
- Address
- 11114 LANTERN WAY
- State
- Virginia
- ZIP Code
- 23236-3575
- Phone
- (804) 814-2452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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