Individual
ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10611 PATTERSON AVE, HENRICO, VA 23238-4733
(804) 912-2947
Mailing address
8109 SADDLE CREST DR, MECHANICSVILLE, VA 23111-2261
(804) 519-0821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008804
VA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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