Individual
MRS. JEANNE ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5203 LYNGATE CT, BURKE, VA 22015-2180
(703) 425-5070
(703) 425-5377
Mailing address
5203 LYNGATE CT, BURKE, VA 22015-2180
(703) 425-5070
(703) 425-5377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
07011003234
VA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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