Organization
KMB MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATARINA MIJIC-BARISIC PMHNP-BC (CEO)
(216) 924-8879
Entity
Organization
Contact information
Practice address
278 CEDAR LN SE # 4104, VIENNA, VA 22180-6613
(703) 278-3767
Mailing address
278 CEDAR LN SE # 4104, VIENNA, VA 22180-6613
(703) 278-3767
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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