Individual
KIMBERLY BROOKS MAZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6723 WHITTIER AVE STE 206, MC LEAN, VA 22101-4544
(703) 538-2499
(866) 257-9009
Mailing address
6723 WHITTIER AVE STE 206, MC LEAN, VA 22101-4544
(703) 538-2499
(866) 257-9009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004147
VA
Other
Enumeration date
04/02/2007
Last updated
08/21/2015
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