Individual
KERRIE A SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 PROFESSIONAL DR STE G, WILLIAMSBURG, VA 23185-6618
(757) 349-6463
Mailing address
1158 PROFESSIONAL DR STE G, WILLIAMSBURG, VA 23185-6618
(757) 349-6463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701016236
VA
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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