Individual
AUTUMN KELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 N LEE HWY, LEXINGTON, VA 24450-3200
(540) 466-1336
Mailing address
13 MONACAN CT, LEXINGTON, VA 24450-3931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015981
VA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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