Individual provider · Type 1 NPI

Kelly Carlton Conner

Professional Counselor · Virginia Beach, VA

NPI number 1891392890 Active

Practice location

509 Old Great Neck Rd Ste 203
Virginia Beach, VA 23454-3358

Mailing address

3101 Magic Hollow Blvd
Virginia Beach, VA 23453-3010

Other practice locations

  • 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 · (757) 639-2218

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-20-137898 (VA)
Professional Counselor Primary 101YP2500X0704015413 (VA)

Professional Counselor: Definition to come...

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About NPI 1891392890

Kelly Carlton Conner's National Provider Identifier is 1891392890, issued on Oct 3, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Virginia Beach, VA. The record was last updated on Feb 12, 2024.