Cuffee, Kevin Lance

Cuffee, Kevin Lance is an individual health care provider with primary practice located at 102 Camel Back Ct , Suffolk VA 23434-1519. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Cuffee, Kevin Lance can be contacted via phone (757) 470-9044.

Contact Information

Primary practice address
102 Camel Back Ct Suffolk VA 23434-1519
Phone: (757) 470-9044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102528 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701013070 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701013070 Virginia
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0704012899 Virginia

Profile Details

NPI number 1679109490
LBN Legal business name Cuffee, Kevin Lance
Credentials ED.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2020
Last updated Feb 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679109490 NPPES
Other 99-0580539 IRS
MEDICAID 83-0738194 IRS

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