Organization
AVALON PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARQUIS (OWNER)
(443) 604-3730
Entity
Organization
Contact information
Practice address
12 N BRADDOCK ST, WINCHESTER, VA 22601-4120
(540) 781-1558
Mailing address
12 N BRADDOCK ST, WINCHESTER, VA 22601-4120
(540) 781-1558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
08/11/2026
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