Individual
KIMBLY KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
245 HAIRSTON ST, DANVILLE, VA 24540-4137
(434) 793-4931
(434) 799-3100
Mailing address
245 HAIRSTON ST, DANVILLE, VA 24540-4137
(434) 793-4931
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00701014678
VA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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