Provider Demographics
NPI:1679738785
Name:KIRK, ISABEL B (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:B
Last Name:KIRK
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:ISABEL
Other - Middle Name:B
Other - Last Name:TORELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4220 SLEEPY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2046
Mailing Address - Country:US
Mailing Address - Phone:703-231-7991
Mailing Address - Fax:
Practice Address - Street 1:4220 SLEEPY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2046
Practice Address - Country:US
Practice Address - Phone:703-231-7991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004873101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional