Individual
MS. GAHAN C KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2000 RIVERSIDE DRIVE, #10R, RICHMOND, VA 23225
(804) 837-7125
Mailing address
2000 RIVERSIDE DRIVE, #10R, RICHMOND, VA 23225
(804) 837-7125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005859
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080082M
SENTARA
VA
01
—
145396
ANTHEM
VA
05
—
4945280
—
VA
Enumeration date
06/22/2006
Last updated
02/22/2024
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