Individual
KELLY MARIE RIVERA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
112 CANDLEWOOD CT, LYNCHBURG, VA 24502-2653
(434) 258-0591
Mailing address
104 MAPLE HILLS DR UNIT B, LYNCHBURG, VA 24502-4420
(614) 306-0694
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717002392
VA
106H00000X
Marriage & Family Therapist
20725
NC
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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