Provider Demographics
NPI:1225893027
Name:ORBIN, KRISTIN (COUNSELING INTERN)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:ORBIN
Suffix:
Gender:F
Credentials:COUNSELING INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6825 RADCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22307-1542
Mailing Address - Country:US
Mailing Address - Phone:760-675-5723
Mailing Address - Fax:
Practice Address - Street 1:2850 EISENHOWER AVE STE 310
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4567
Practice Address - Country:US
Practice Address - Phone:844-947-3326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
VAINTERN101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health