Individual
CAITLIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6127 SYLVAN ST, NORFOLK, VA 23508-1033
(757) 567-6209
Mailing address
6127 SYLVAN ST, NORFOLK, VA 23508-1033
(757) 567-6209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ATC102
MD
101YM0800X
Mental Health Counselor
Primary
LC6435
MD
101YM0800X
Mental Health Counselor
—
VA
Other
Enumeration date
12/07/2015
Last updated
08/14/2023
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