Individual
MAUREEN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
281 INDEPENDENCE BLVD, SUITE 326, VIRGINIA BEACH, VA 23462-2986
(757) 490-0377
Mailing address
205 34TH ST APT 314, VIRGINIA BEACH, VA 23451-2879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00330200
NJ
101YP2500X
Professional Counselor
Primary
0701005415
VA
Other
Enumeration date
11/16/2012
Last updated
03/07/2013
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