Individual
KELLY MARIE GULAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
800 PRESTON AVE, CHARLOTTESVILLE, VA 22903-4420
(434) 970-1880
(434) 970-1878
Mailing address
500 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903-6500
(434) 970-1880
(434) 970-2116
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007775
VA
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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