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Individual

ELIZABETH KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATR-BC, LPC, GC-C

Contact information

Practice address
10617 JONES ST, FAIRFAX, VA 22030, 301B, FAIRFAX, VA 22030
(202) 670-3505
Mailing address
10617 JONES ST, FAIRFAX, VA 22030, 301B, FAIRFAX, VA 22030
(631) 848-5879

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701013741
VA
101YP2500X
Professional Counselor
Primary
PRC15075
DC

Other

Enumeration date
09/20/2019
Last updated
09/26/2025
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