Individual
MAUREEN KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR, LPC
Contact information
Practice address
301 FORT LN, PORTSMOUTH, VA 23704-2221
(757) 393-0061
Mailing address
301 FORT LN, PORTSMOUTH, VA 23704-2221
(757) 393-0061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006720
VA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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