| Ginkgo Art Therapy Llc | |
|
10617 Jones St Ste 301b Fairfax VA 22030-7524 | |
| (202) 670-3505 | |
| Not Available |
| Full Name | Ginkgo Art Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10617 Jones St Ste 301b, Fairfax, Virginia |
| Authorized Official Name and Position | Elizabeth Kim (CEO, THERAPIST) |
| Authorized Official Contact | 2026703505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ginkgo Art Therapy Llc 10617 Jones St Ste 301b Fairfax VA 22030-7524 Ph: () - | Ginkgo Art Therapy Llc 10617 Jones St Ste 301b Fairfax VA 22030-7524 Ph: (202) 670-3505 |
| NPI Number | 1629815410 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629815410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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