Individual
MARILID MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
163 FORT EVANS RD NE, LEESBURG, VA 20176-4420
(703) 443-2000
Mailing address
5105 WOODMERE DR APT 101, CENTREVILLE, VA 20120-4317
(703) 232-9269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
704014226
VA
Other
Enumeration date
02/27/2023
Last updated
05/01/2025
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