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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› Verified 4 days ago
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