Individual
KELLY DAVIS HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 MEDICAL DR, 2ND FLR, HAMPTON, VA 23666-1765
(757) 788-0092
(757) 788-0969
Mailing address
232 LIBBY STREET, HAMPTON, VA 23663
(757) 722-6864
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005245
VA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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