Individual
KELLY BOJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RIC, PLPC
Contact information
Practice address
6935 COLUMBIA PIKE, ANNANDALE, VA 22003-3458
(630) 776-5432
Mailing address
5502 CONISTONE CT, BURKE, VA 22015-1928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015107
VA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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