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Carol Leigh McInnis, LPC

Counselor, Professional in Portsmouth, VA. Individual provider (NPI-1).

NPI number1508209529
StatusActive
Last updated in NPPESApr 6, 2016

Details

NPI
1508209529
Entity type
Individual (NPI-1)
Name
Carol Leigh McInnis
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2013
Last updated
Apr 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional0701006564VAYes

Practice location

301 Fort Ln
Portsmouth, VA 23704-2221

Phone 757-391-5928 · Fax 757-391-6535

Mailing address

301 Fort Ln
Portsmouth, VA 23704-2221

Phone 757-391-5928 · Fax 757-391-6535

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