Doctor Name: | MS. KAWANNA EVETTE WARD |
NPI Number: | 1043515331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, CSAC, CSOTP |
License Number: | 0812000607 |
Business Practice Address: | 1634 London Blvd Portsmouth, VA - 237042137 |
Business Phone Number: | 7579661889 |
Business Fax Number: | |
Mailing Address: | 1634 London Blvd, PORTSMOUTH |
State: | VA |
Postal Code: | 237042137 |
Phone Number: | 7579661889 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2011 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0812000607 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |