Individual provider · Type 1 NPI

Khilia Tyese Giacobone, PhD, LPC, CSOTP

Professional Counselor · Mechanicsville, VA

NPI number 1902628126 Active

Practice location

PO Box 337
Mechanicsville, VA 23111-0337

Call (804) 306-1790 Map

Mailing address

3315 Craftmaster Ct
Mechanicsville, VA 23111-6144

Other practice locations

  • 546 Walnut Grove Dr, Jarratt, VA 23867-8611 · (804) 306-1790

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701011919 (VA)
Professional Counselor 101YP2500XPRC15359 (DC)

Professional Counselor: Definition to come...

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About NPI 1902628126

Khilia Tyese Giacobone, PhD, LPC, CSOTP's National Provider Identifier is 1902628126, issued on Oct 29, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mechanicsville, VA. The record was last updated on Mar 5, 2026.