Individual
MARTIN DEAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCACII,CSAC,SAP,QMHP
Contact information
Practice address
2331 OLD MILL ROAD, SUITE 100, ALEXANDRIA, VA 22314
(703) 224-8929
Mailing address
2913 WESTCOTT ST, FALLS CHURCH, VA 22042-1922
(703) 224-8929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102778
VA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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