Individual
SAVANNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC, LAC
Contact information
Practice address
17949 MAIN ST UNIT 2, DUMFRIES, VA 22026-8001
(804) 603-0465
Mailing address
17949 MAIN ST UNIT 2, DUMFRIES, VA 22026-8001
(804) 603-0465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19021812
SD
101YM0800X
Mental Health Counselor
Primary
0701010674
VA
101YM0800X
Mental Health Counselor
LPC20574
SD
Other
Enumeration date
10/29/2020
Last updated
01/22/2025
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