person
Phyllis M Fortunato Martin, LPC
Professional Counselor in Fairfax, Virginia
NPI 1215360532

Phyllis M Fortunato Martin is a Professional Counselor based in Fairfax, VA and is specialized in Professional. Phyllis M Fortunato Martin practices in Fairfax, VA and has the professional credentials of LPC. The NPI Number for Phyllis M Fortunato Martin is 1215360532 and holds a License No. 0701003077 (Virginia).

The current practice location address for Phyllis M Fortunato Martin is 10400 Eaton Pl, Fairfax, VA and can be reached out via phone at 703-509-7412.

Location: 10400 Eaton Pl, Fairfax, VA, 22030-2208
person
Provider Profile Details
NPI Number
1215360532
Provider Name
Phyllis M Fortunato Martin
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
10400 Eaton Pl, Fairfax, VA, 22030-2208
Phone Number
703-509-7412
Fax Number
Provider Enumeration Date
08/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10400 Eaton Pl
City
State
Zip
22030-2208
Phone Number
703-509-7412
Fax Number
person
Provider Business Mailing Address Details
Address
10400 Eaton Pl
City
State
Zip
22030-2208
Phone Number
703-509-7412
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701003077 (Virginia)
Definition
Definition to come...
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