Individual
KRISTIN ELLEN ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9675 MAIN ST STE C, FAIRFAX, VA 22031-3762
(703) 334-0409
Mailing address
1000 AVERY CT SW, VIENNA, VA 22180-6448
(571) 551-9625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0903003442
VA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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