Individual
MARTHA RACKETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7921 JONES BRANCH DR STE 400, MC LEAN, VA 22102-3377
(704) 444-9141
Mailing address
1600 SPRING GATE DR UNIT 2202, MC LEAN, VA 22102-3455
(540) 250-0182
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001387
VA
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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