Individual provider · Type 1 NPI
Shanequa Martine Vass
Mental Health Counselor · Chesapeake, VA
NPI number
1861204737
Active
Practice location
4037 Taylor Rd Ste D
Chesapeake, VA 23321-5500
Mailing address
3121 Hull St
Portsmouth, VA 23704-6133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0701014218 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1861204737
Shanequa Martine Vass's National Provider Identifier is 1861204737, issued on Jan 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chesapeake, VA. The record was last updated on Feb 4, 2025.