Individual provider · Type 1 NPI

Kelly Elaine Vandivert, LPC

Professional Counselor · Fredericksburg, VA

NPI number 1578718987 Active

Practice location

406 Chatham Sq Park, #102
Fredericksburg, VA 22405-2585

Call (703) 819-7538 Map

Fax (540) 373-6266

Mailing address

186 Boulder Springs Ln
Louisa, VA 23093-6229

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701004449 (VA)

Professional Counselor: Definition to come...

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About NPI 1578718987

Kelly Elaine Vandivert, LPC's National Provider Identifier is 1578718987, issued on Nov 26, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fredericksburg, VA. The record was last updated on Jun 19, 2024.