Individual
MS. KELLY S DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1811 KING ST, PORTSMOUTH, VA 23704-3032
(757) 393-8618
Mailing address
5131 RIVER CLUB DR STE 200, SUFFOLK, VA 23435-3837
(888) 513-1206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701013510
VA
101YM0800X
Mental Health Counselor
0732007056
VA
101YP2500X
Professional Counselor
Primary
0701013510
VA
Other
Enumeration date
04/30/2024
Last updated
11/06/2025
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