Organization
LORI KELLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI KELLY MPH, MED, LPC (LICENSED PROFESSIONAL COUNSELOR)
(703) 785-9988
Entity
Organization
Contact information
Practice address
254 N WASHINGTON ST, FALLS CHURCH, VA 22046-4537
(703) 785-9988
Mailing address
4219 WAKEFIELD DR, ANNANDALE, VA 22003-3667
(703) 568-1743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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