Individual
BONNIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
201 N FAIRFAX ST # 14, ALEXANDRIA, VA 22314-2674
(703) 746-3485
(703) 746-3464
Mailing address
201 N FAIRFAX ST STE 14, ALEXANDRIA, VA 22314-2674
(240) 476-7671
(877) 447-0147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701005008
VA
101YP2500X
Professional Counselor
Primary
0701005008
VA
Other
Enumeration date
05/16/2007
Last updated
04/28/2021
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