Kristin Ellen Zimmerman, LMSW
Counselor, Mental Health in Fairfax, VA. Individual provider (NPI-1).
NPI number1265162002
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1265162002
- Entity type
- Individual (NPI-1)
- Name
- Kristin Ellen Zimmerman
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2022
- Certification date
- Jun 14, 2022
- Last updated
- Jun 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0903003442 | VA | Yes |
Practice location
9675 Main St Ste CFairfax, VA 22031-3762
Phone 703-334-0409
Mailing address
1000 Avery Ct SwVienna, VA 22180-6448
Phone 571-551-9625
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