Individual
ISABELLA MORENO-KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6059B ARLINGTON BLVD, FALLS CHURCH, VA 22044-2721
(703) 270-3521
Mailing address
301 N BEAUREGARD ST APT 711, ALEXANDRIA, VA 22312-2911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704014928
VA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704014928
LPC-R
VA
Enumeration date
09/06/2022
Last updated
03/10/2024
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