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Individual

MS. MARTHA JEAN MCINTOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C

Contact information

Practice address
5999 STEVENSON AVE, ALEXANDRIA, VA 22304-3304
(703) 823-9800
(703) 823-0252
Mailing address
3522 S WAKEFIELD ST APT A1, ARLINGTON, VA 22206-1728
(703) 998-9146

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002069
VA

Other

Enumeration date
04/24/2007
Last updated
07/08/2007
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