Individual provider · Type 1 NPI

Stella Benetis-Matta, MED

Mental Health Counselor · Leesburg, VA

NPI number 1811138035 Active

Practice location

102 Heritage Way NE, Suite 302
Leesburg, VA 20176-4544

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811138035

Stella Benetis-Matta, MED's National Provider Identifier is 1811138035, issued on Mar 18, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leesburg, VA. The record was last updated on Mar 18, 2009.