Individual
ALISA BALDERAS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12007 SUNRISE VALLEY DR, RESTON, VA 20191-3479
(703) 522-2089
Mailing address
2245 SOUTHGATE SQ, RESTON, VA 20191-1232
(612) 357-6405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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