Individual
ARCHER KELLY MANESS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
914 E HIGH ST, CHARLOTTESVILLE, VA 22902-4850
(434) 825-3626
(434) 295-1372
Mailing address
914 E HIGH ST, CHARLOTTESVILLE, VA 22902-4850
(434) 825-3626
(434) 295-1372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
VA
101YM0800X
Mental Health Counselor
Primary
—
VA
101YP2500X
Professional Counselor
—
VA
Other
Enumeration date
06/24/2006
Last updated
09/11/2025
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