Individual
KELLI JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 693-5057
Mailing address
PO BOX 269, ARK, VA 23003-0269
(804) 695-8199
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006810
VA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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