Individual
KIMBERLY DEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LICDC-CSLCADC-CSS
Contact information
Practice address
1640 BORO PL FL 4, MC LEAN, VA 22102-3627
(323) 522-2218
Mailing address
1640 BORO PL FL 4, MC LEAN, VA 22102-3627
(323) 522-2218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
081153
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
168863
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
283159
KY
Other
Enumeration date
10/06/2015
Last updated
10/10/2023
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