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Individual

MRS. LESLIE MARIE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, CSAC

Contact information

Practice address
108 ELDEN ST, SUITE 15-C, HERNDON, VA 20170-4828
(703) 796-6380
(703) 796-6381
Mailing address
6805 INNESFREE WAY, GAINESVILLE, VA 20155-4414

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0904005772
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710101842
VA

Other

Enumeration date
04/02/2007
Last updated
09/11/2025
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