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MAURICE STEVEN MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(703) 559-3000
Mailing address
1008 SPAIN DR, STAFFORD, VA 22554-1922
(571) 332-5494

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701008489
VA
101YM0800X
Mental Health Counselor
Primary
0701008489
VA
101YP2500X
Professional Counselor
0701008489
VA

Other

Enumeration date
07/18/2019
Last updated
12/21/2023
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