Individual
KELLIE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MA, NCC
Contact information
Practice address
102 5TH ST SE # 305, CHARLOTTESVILLE, VA 22902-5246
(434) 218-3283
Mailing address
102 5TH ST SE # 305, CHARLOTTESVILLE, VA 22902-5246
(434) 218-3283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
08/27/2025
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