Individual
MINA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8280 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4518
(571) 472-4300
Mailing address
8280 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4518
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
05/29/2026
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