Individual
KJERSTIN LEMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, C-DBT, CPD
Contact information
Practice address
3 ANNIE CT, FORT MITCHELL, AL 36856-4439
(571) 222-5381
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0704014266
VA
101YP2500X
Professional Counselor
0701013335
VA
101YP2500X
Professional Counselor
Primary
LPC05479
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528649191
—
VA
05
—
30017820160001
—
VA
Enumeration date
04/15/2021
Last updated
03/25/2025
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