Individual
KIMBERLY JEAN PETREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
915 RHODE ISLAND AVE NW, WASHINGTON, DC 20001-4153
(202) 236-6100
Mailing address
5011 CARYN CT APT 304, ALEXANDRIA, VA 22312-5060
(740) 973-9533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC00859
DC
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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