KIMBERLY BROOKS MAZELLA M.S.
NPI 1215057104
Counselor - Professional in Mc Lean, VA
Active since April 02, 2007
6723 WHITTIER AVE STE 206, MC LEAN, VA 22101(703) 538-2499(866) 257-9009 Get Directions Write a Review
About Kimberly Brooks Mazella M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY BROOKS MAZELLA M.S. (NPI 1215057104) is an individual professional provider in Mc Lean, Virginia, licensed in Virginia (0701004147) and active in the NPI registry since April 2007.
NPPES Registry Identity
NPI1215057104
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY BROOKS MAZELLACredential: M.S.
Location Address6723 WHITTIER AVE STE 206Mc Lean, VA 22101-4544
Mailing Address6723 Whittier Ave Ste 206Mc Lean, VA 22101-4544 · (703) 538-2499 · Fax (866) 257-9009
Phone(703) 538-2499
Fax(866) 257-9009
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateAugust 21, 2015
✔ NPI 1215057104 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701004147
6723 WHITTIER AVE STE 206, Mc Lean, VA 22101
Other Names 1
Former Name (1)Kimberly Miles Brooks M.s.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215057104, enumerated as an "individual" on April 02, 2007.
The provider is located at 6723 WHITTIER AVE STE 206 MC LEAN, VA 22101 and the phone number is (703) 538-2499.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
