Healthcare Provider Details
I. General information
NPI: 1336505379
Provider Name (Legal Business Name): PATRICIA MCCOY KESSLER LPC, CEDS-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/06/2016
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1443 CROSSINGS CENTER DR STE A
FOREST VA
24551-5081
US
IV. Provider business mailing address
1443 CROSSINGS CENTER DR STE A
FOREST VA
24551-5081
US
V. Phone/Fax
- Phone: 434-219-5621
- Fax: 434-305-1072
- Phone: 434-219-5621
- Fax: 434-305-1072
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 0701006458 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: