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Individual

MS. MARTHA RACHEL GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5691 COLUMBIA PIKE, SUITE 200, FALLS CHURCH, VA 22041
(703) 998-5606
(703) 998-5608
Mailing address
5691 COLUMBIA PIKE, SUITE 200, FALLS CHURCH, VA 22041
(703) 998-5606
(703) 998-5608

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003275
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2122855
MAMSI
01
28110012
CARE FIRST
Enumeration date
11/20/2006
Last updated
07/08/2007
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