Individual
MRS. KIMBERLY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
150 RIVERSIDE PKWY STE 107, FREDERICKSBURG, VA 22406-1094
(530) 945-8475
Mailing address
9 RAINWATER LN, FREDERICKSBURG, VA 22406-4739
(530) 945-8475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701012059
VA
101YP2500X
Professional Counselor
Primary
0701012059
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701012059
LICENSE NUMBER
VA
Enumeration date
12/27/2022
Last updated
08/12/2026
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