Provider Demographics
NPI:1639936727
Name:HUGHES, KENDRA LESHARA (COUNSELING ASSOCIATE)
Entity Type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:LESHARA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:COUNSELING ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 ASHTON VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-4509
Mailing Address - Country:US
Mailing Address - Phone:757-759-5079
Mailing Address - Fax:
Practice Address - Street 1:1225 ASHTON VILLAGE CT
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-4509
Practice Address - Country:US
Practice Address - Phone:757-759-5079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704015536101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor