Individual
KELLY EILEEN DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-R
Contact information
Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(571) 233-2561
Mailing address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(571) 233-2561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701015259
VA
Other
Enumeration date
06/30/2021
Last updated
09/09/2025
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