Zadow, Kelly Elizabeth

Zadow, Kelly Elizabeth is an individual health care provider with primary practice located at 3020 Javier Rd , Fairfax VA 22031-4609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Zadow, Kelly Elizabeth can be contacted via phone (571) 277-0217.

Contact Information

Primary practice address
3020 Javier Rd Fairfax VA 22031-4609
Phone: (571) 277-0217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102540 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701004942 Virginia

Profile Details

NPI number 1063757326
LBN Legal business name Zadow, Kelly Elizabeth
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2012
Last updated Nov 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers