Individual
KELLY HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2604 N PARHAM RD, RICHMOND, VA 23294-4649
(804) 230-0999
Mailing address
PO BOX 2549, GLEN ALLEN, VA 23058-2549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
1041C0700X
Clinical Social Worker
0904012842
VA
Other
Enumeration date
04/29/2021
Last updated
02/21/2025
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