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Organization

KMCOUNSELINGLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KELLY MICHAELS MILLER L.C.S.W. (OWNER)
(703) 887-9476
Entity
Organization

Contact information

Practice address
23 GROVES AVE, ALEXANDRIA, VA 22305-2508
(703) 887-9476
Mailing address
23 GROVES AVE, ALEXANDRIA, VA 22305-2508
(703) 887-9476

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904003516
VA

Other

Enumeration date
03/04/2015
Last updated
07/01/2015
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