Individual
MRS. KELLY BRAZAS NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 SEASONS WALK CT, YORKTOWN, VA 23690-4048
(402) 889-8017
Mailing address
121 SEASONS WALK CT, YORKTOWN, VA 23690-4048
(402) 889-8017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007183
VA
101YP2500X
Professional Counselor
0701007183
VA
Other
Enumeration date
07/06/2017
Last updated
12/28/2023
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