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Organization
THAT COUNSELING PLACE, LLC
Active
Organization
THAT COUNSELING PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELINA HARRISON KELLY LCSW (THERAPIST)
(540) 944-4994
Entity
Organization
Contact information
Practice address
930 CAMBRIA ST NE STE 100, CHRISTIANSBURG, VA 24073-1631
(540) 944-4994
(540) 944-6446
Mailing address
PO BOX 6605, CHRISTIANSBURG, VA 24068-6605
(540) 944-4994
(540) 944-6446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023505047
NPI
—
05
—
1023505047
—
VA
Enumeration date
07/21/2021
Last updated
07/21/2021
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