Provider Demographics
NPI:1003424466
Name:PRICE, KENZINGTON (LCPC)
Entity type:Individual
Prefix:
First Name:KENZINGTON
Middle Name:
Last Name:PRICE
Suffix:
Gender:
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5807 NORHAM DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-4730
Mailing Address - Country:US
Mailing Address - Phone:208-901-7331
Mailing Address - Fax:
Practice Address - Street 1:5807 NORHAM DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-4730
Practice Address - Country:US
Practice Address - Phone:208-901-7331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC9088101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor