Leslie, Rebecca M

Leslie, Rebecca M is an individual health care provider with primary practice located at 2579 John Milton Dr Ste 210 , Herndon VA 20171-2564. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Leslie, Rebecca M can be contacted via phone (703) 214-4924.

Contact Information

Primary practice address
2579 John Milton Dr Ste 210 Herndon VA 20171-2564
Phone: (703) 214-4924
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0704014549 Virginia

Profile Details

NPI number 1619627783
LBN Legal business name Leslie, Rebecca M
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2022
Last updated Mar 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619627783 NPPES
Virginia Other 0704014549 RESIDENT IN COUNSELING LICENSE

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