Individual
SALLY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
504 MAIN ST, GAITHERSBURG, MD 20878-5587
(301) 591-6830
Mailing address
8010 GRAMERCY BLVD APT 435, ROCKVILLE, MD 20855-2365
(301) 906-9804
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC15113
MD
101YP2500X
Professional Counselor
LGP11987
MD
Other
Enumeration date
02/28/2023
Last updated
05/15/2025
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