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Individual

DR. KELLY D BONEBRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
117A TRADEWYND DR # 115A, LYNCHBURG, VA 24502-3112
(434) 214-8821
Mailing address
117A TRADEWYND DR # 115A, LYNCHBURG, VA 24502-3112
(434) 214-8821

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007982
VA

Other

Enumeration date
02/11/2019
Last updated
04/07/2022
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