Individual
MS. KIMBERLEY L BERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, CSAC, SAP, NCRC
Contact information
Practice address
10640 PAGE AVE, FAIRFAX, VA 22030-4000
(703) 528-8668
Mailing address
42395 RYAN RD, SUITE 112-116, ASHBURN, VA 20148-4863
(703) 528-8668
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102772
VA
104100000X
Social Worker
0903001841
VA
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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