Organization
GINKGO ART THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KIM ATR-BC, LPC, GC-C (CEO, THERAPIST)
(202) 670-3505
Entity
Organization
Contact information
Practice address
10617 JONES ST STE 301B, FAIRFAX, VA 22030-7524
(202) 670-3505
Mailing address
10617 JONES ST STE 301B, FAIRFAX, VA 22030-7524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
09/10/2025
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