Individual provider · Type 1 NPI

Kelly Elizabeth Zadow, LPC

Mental Health Counselor · Fairfax, VA

NPI number 1063757326 Active

Practice location

3020 Javier Rd
Fairfax, VA 22031-4609

Call (571) 277-0217 Map

Mailing address

1300 Pellow Circle Trl
Herndon, VA 20170-2423

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0710102540 (VA)
Mental Health Counselor Primary 101YM0800X0701004942 (VA)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1063757326

Kelly Elizabeth Zadow, LPC's National Provider Identifier is 1063757326, issued on Nov 27, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfax, VA. The record was last updated on Nov 27, 2012.