Individual provider · Type 1 NPI
Kenneth Marvin Shirley, LPC
Professional Counselor · North Chesterfield, VA
NPI number
1073079927
Active
Practice location
11114 Lantern Way
North Chesterfield, VA 23236-3575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 070100652 (VA) |
Professional Counselor: Definition to come...
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About NPI 1073079927
Kenneth Marvin Shirley, LPC's National Provider Identifier is 1073079927, issued on Feb 15, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in North Chesterfield, VA. The record was last updated on Feb 15, 2019.