Provider Demographics
NPI:1831660901
Name:KAYES, MAUREEN M (LPC)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:M
Last Name:KAYES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10737 CREST HILL RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:VA
Mailing Address - Zip Code:20115-2710
Mailing Address - Country:US
Mailing Address - Phone:540-364-3582
Mailing Address - Fax:
Practice Address - Street 1:8452 RENALDS AVE
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:VA
Practice Address - Zip Code:20115-3755
Practice Address - Country:US
Practice Address - Phone:540-454-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008009101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional