| Kimberly M. Brooks Lpc Pllc | |
|
6723 Whittier Ave Ste 206 Mc Lean VA 22101-4544 | |
| (571) 481-1712 | |
| Not Available |
| Full Name | Kimberly M. Brooks Lpc Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6723 Whittier Ave Ste 206, Mc Lean, Virginia |
| Authorized Official Name and Position | Kimberly Brooks Mazella (OWNER) |
| Authorized Official Contact | 5714811712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly M. Brooks Lpc Pllc 6723 Whittier Ave Ste 206 Mc Lean VA 22101-4544 Ph: (571) 481-1712 | Kimberly M. Brooks Lpc Pllc 6723 Whittier Ave Ste 206 Mc Lean VA 22101-4544 Ph: (571) 481-1712 |
| NPI Number | 1093272791 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093272791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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