Individual
JANIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5826 RUEBUSH RD, DUBLIN, VA 24084-2252
(540) 585-1310
Mailing address
5826 RUEBUSH RD, DUBLIN, VA 24084-2252
(540) 585-1310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007737
VA
Other
Enumeration date
04/12/2019
Last updated
09/11/2019
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