MS. Kisha Wynnette Mickens, LPC

NPI #1447933973 in West Point, Virginia

Provider Information

NPI Number: 1447933973
Entity Type: Individual
Name: MS. Kisha Wynnette Mickens, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 10, 2023
Last Updated: Aug 10, 2023

Practice Location

Address: 3210 MATTAPONI AVE
City: West Point
State: Virginia
ZIP Code: 23181-9307
Phone: (804) 767-0973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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