Individual
KIMBERLEIGH MARIE MUBARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-4673
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-4673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701014318
VA
Other
Enumeration date
01/06/2025
Last updated
01/23/2025
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