Individual
CELESTE MACDONALD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
250 WYLDEROSE CMNS, MIDLOTHIAN, VA 23113-6883
(804) 214-6198
Mailing address
312 BROWNS HILL CT, MIDLOTHIAN, VA 23114-9511
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007032
VA
Other
Enumeration date
08/01/2020
Last updated
08/16/2024
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