Individual
MRS. LESLIE COURTNEY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MED, CSAC
Contact information
Practice address
1850 CAMERON GLEN DR STE 600, RESTON, VA 20190-3343
(703) 481-4174
(703) 435-1961
Mailing address
1850 CAMERON GLEN DR STE 600, RESTON, VA 20190-3343
(703) 481-4174
(703) 435-1961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005548
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120705
FX CO EMPLOYEE NUMBER
VA
Enumeration date
11/07/2013
Last updated
11/07/2013
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