Individual
KELLY LEIGH HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
113 CUMBERLAND ROAD, CEDAR BLUFF, VA 24609-0810
(276) 964-6702
(276) 964-0292
Mailing address
PO BOX 283, BIG ROCK, VA 24603-0283
(276) 337-8442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008891
VA
Other
Enumeration date
01/30/2020
Last updated
02/12/2025
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