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Individual

MARTIA T HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
14500 AVION PKWY STE 315, CHANTILLY, VA 20151-1108
(703) 260-9978
(703) 890-2554
Mailing address
14500 AVION PKWY STE 315, CHANTILLY, VA 20151-1108
(703) 260-9978
(703) 890-2554

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005740
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945247
VA
Enumeration date
02/12/2014
Last updated
11/12/2024
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