Individual
MS. KELLY D. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
13890 BRADDOCK RD STE 312, CENTREVILLE, VA 20121-2438
(703) 750-8952
Mailing address
13890 BRADDOCK RD STE 312, CENTREVILLE, VA 20121-2438
(703) 750-8952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
05/15/2014
Last updated
04/13/2018
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