Individual
MR. DANIEL F MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Contact information
Practice address
459 CARLISLE DR STE A, HERNDON, VA 20170-5607
(703) 237-3743
Mailing address
459A CARLISLE DRIVE, HERNDON, VA 20170-5607
(703) 237-3743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710100902
VA
101YP2500X
Professional Counselor
Primary
0701005225
VA
Other
Enumeration date
01/14/2007
Last updated
06/22/2012
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