Individual
MADELINE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 N KING ST, LEESBURG, VA 20176-2827
(571) 800-0850
Mailing address
15 N KING ST, LEESBURG, VA 20176-2827
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701013349
VA
101YM0800X
Mental Health Counselor
LC11462
MD
Other
Enumeration date
07/26/2020
Last updated
09/22/2025
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