Individual
MRS. KRISTEN PATRICIA KOLUMBIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11252 MASTIFF RUN CT, BRISTOW, VA 20136-6135
(415) 730-4649
Mailing address
11252 MASTIFF RUN CT, BRISTOW, VA 20136-6135
(415) 730-4649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904012503
VA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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