Individual
MS. LESLEY ANNE PERSILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9675 MAIN STREET, SUITE A, FAIRFAX, VA 22031
(703) 349-5459
Mailing address
3616 DORADO CT, FAIRFAX, VA 22031-3836
(703) 383-9897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005084
VA
Other
Enumeration date
08/12/2011
Last updated
03/12/2015
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