Individual
JUSTINE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
3900 FORESTVILLE RD, FORESTVILLE, MD 20747-4715
(240) 296-6072
Mailing address
3900 FORESTVILLE RD, FORESTVILLE, MD 20747-4715
(240) 296-6072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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