Individual
MARTA ASGEDOM ASRES KIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 LEESBURG PIKE # 1121, FALLS CHURCH, VA 22041-2301
(703) 679-2155
Mailing address
5801 LEESBURG PIKE # 1121, FALLS CHURCH, VA 22041-2301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732011429
VA
Other
Enumeration date
07/31/2025
Last updated
08/26/2025
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