Individual
MS. JENNIFER ANN KELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9513 HULL STREET RD STE A, NORTH CHESTERFIELD, VA 23236-1495
(804) 608-9389
(804) 763-3453
Mailing address
PO BOX 4504, MIDLOTHIAN, VA 23112-0010
(804) 317-5710
(804) 763-3453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004489
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010210607
—
VA
Enumeration date
08/18/2006
Last updated
01/05/2023
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