Provider Demographics
NPI:1184162687
Name:ALPIZAR, JENNIFER (LPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:ALPIZAR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 S SHIRLINGTON RD STE 350
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3617
Mailing Address - Country:US
Mailing Address - Phone:703-379-9311
Mailing Address - Fax:703-379-4848
Practice Address - Street 1:2800 S SHIRLINGTON RD STE 350
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-3617
Practice Address - Country:US
Practice Address - Phone:703-379-9311
Practice Address - Fax:703-379-4848
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008727101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA008727OtherSTATE LICENSE
TX83443OtherSTATE LICENSE