Individual
MRS. KELLY LUTRELL STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8227 OLD COURTHOUSE RD STE 215, VIENNA, VA 22182-3815
(571) 230-3019
Mailing address
8227 OLD COURTHOUSE RD STE 215, VIENNA, VA 22182-3815
(571) 230-3019
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005537
VA
Other
Enumeration date
05/29/2007
Last updated
06/11/2019
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