Provider Demographics
NPI:1326793613
Name:ALLEN, ALEXANDRA WALKER MCGARRY (LPC)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:WALKER MCGARRY
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:ALEXANDRA
Other - Middle Name:WALKER
Other - Last Name:MCGARRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 234
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:VA
Mailing Address - Zip Code:22967-0234
Mailing Address - Country:US
Mailing Address - Phone:434-989-5271
Mailing Address - Fax:
Practice Address - Street 1:500 OLD LYNCHBURG RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-6500
Practice Address - Country:US
Practice Address - Phone:434-972-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011218101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional