Individual
JAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6901 S VAN DORN ST, ALEXANDRIA, VA 22315-3961
(703) 313-6300
Mailing address
6901 S VAN DORN ST, ALEXANDRIA, VA 22315-3961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013320
VA
Other
Enumeration date
09/26/2022
Last updated
02/28/2024
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