Kamron Blue, MSW
Counselor, Mental Health in Hampton, VA. Individual provider (NPI-1).
NPI number1861007668
StatusActive
Last updated in NPPESSep 9, 2020
Details
- NPI
- 1861007668
- Entity type
- Individual (NPI-1)
- Name
- Kamron Blue
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2020
- Certification date
- Sep 9, 2020
- Last updated
- Sep 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1720 N King StHampton, VA 23669-1910
Phone 757-224-0537
Mailing address
912 Godwin StPortsmouth, VA 23704-4014
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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