Individual
LESLIE STACHELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11914 BRISTOW VILLAGE BLVD, BRISTOW, VA 20136
(571) 535-4599
Mailing address
9994 SOWDER VILLAGE PLAZA, PMB 531, MANASSAS, VA 20109-5464
(571) 535-4599
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005584
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
760528500
—
FL
Enumeration date
05/02/2008
Last updated
11/21/2023
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