Individual
MR. KELLY L CLINEVELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-2900
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-2900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6/19/1992
VA
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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