Individual
KELLEY JENEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MINNESOTA AVENUE, 3946 MINNESOTA AVENUE NE, WASHINGTON, DC 20019-6044
(202) 398-8683
(202) 548-8600
Mailing address
MINNESOTA AVENUE, 3946 MINNESOTA AVENUE NE, WASHINGTON, DC 20019-6044
(202) 398-8683
(202) 548-8600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PRC14827
DC
101YP2500X
Professional Counselor
0701007939
VA
Other
Enumeration date
11/26/2018
Last updated
11/20/2023
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