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Individual

KAITLYN ZUPKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
11908 WATERTON LAKE LN, BRISTOW, VA 20136-2229
(631) 875-3226
Mailing address
11908 WATERTON LAKE LN, BRISTOW, VA 20136-2229
(631) 875-3226

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007682
VA

Other

Enumeration date
07/01/2021
Last updated
07/01/2021
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