Individual
KELSEY MELTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4112 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(804) 494-9760
Mailing address
4112 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(804) 494-9760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740749258
SUNSTONE COUNSELING CENTER
VA
Enumeration date
08/15/2022
Last updated
08/15/2022
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