Individual
KELLY RENEE CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
540 W MAIN ST, WYTHEVILLE, VA 24382-2209
(276) 223-3291
(276) 223-3249
Mailing address
7054 W BLUE GRASS TRL, CERES, VA 24318-3456
(276) 613-1730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006065
VA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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