Individual
LA VAUN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2515 WILMA RUDOLPH BLVD, SUITE 107, CLARKSVILLE, TN 37040-5844
(931) 302-4519
Mailing address
712 FORREST COVE CT, CLARKSVILLE, TN 37040-5779
(931) 302-4519
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701004981
VA
101YP2500X
Professional Counselor
Primary
1975
TN
Other
Enumeration date
01/26/2011
Last updated
02/27/2012
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