Individual
MAYA LIDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 CHEROKEE AVE, LINCOLNIA, VA 22312-2052
(646) 320-2566
Mailing address
3205 COMMONWEALTH AVE APT B, ALEXANDRIA, VA 22305-2825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013708
VA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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