Individual
ALEXIS BERNICE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4222 FORTUNA CENTER PLZ STE 122, MONTCLAIR, VA 22025-1515
(703) 261-9528
Mailing address
3484 CALEDONIA CIR, WOODBRIDGE, VA 22192-1062
(832) 392-3714
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704017550
VA
Other
Enumeration date
07/29/2025
Last updated
09/09/2025
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