Individual
DR. VIRGINIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., PH.D.
Contact information
Practice address
56 MAIN ST, SPRINGFIELD, VT 05156-2963
(802) 558-9498
(203) 254-4047
Mailing address
PO BOX 93, PROCTORSVILLE, VT 05153-0093
(802) 558-9498
(203) 254-4047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
001449
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6706237
—
VT
Enumeration date
02/13/2007
Last updated
02/23/2023
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