Individual
KIMBERLY S HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
501 CHURCH ST NE, STE. 209, VIENNA, VA 22180-4734
(571) 208-7864
Mailing address
6913 RIDGE WATER CT, CENTREVILLE, VA 20121-5714
(703) 282-4286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004816
VA
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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