Smith, Kelly D.

Smith, Kelly D. is an sole proprietor health care provider with primary practice located at 13890 Braddock Rd Ste 312 , Centreville VA 20121-2438. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Smith, Kelly D. can be contacted via phone (703) 750-8952.

Contact Information

Primary practice address
13890 Braddock Rd Ste 312 Centreville VA 20121-2438
Phone: (703) 750-8952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1356752034
LBN Legal business name Smith, Kelly D.
Credentials MA, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2014
Last updated Apr 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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