Provider Demographics
NPI:1841473311
Name:ALKEBU-LAN, RUFUS EDWARDS (LPC, CSAC)
Entity type:Individual
Prefix:MR
First Name:RUFUS
Middle Name:EDWARDS
Last Name:ALKEBU-LAN
Suffix:
Gender:M
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 BELFIELD RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23237-2122
Mailing Address - Country:US
Mailing Address - Phone:804-901-9552
Mailing Address - Fax:
Practice Address - Street 1:7501 BELFIELD RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23237-2122
Practice Address - Country:US
Practice Address - Phone:804-901-9552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710000787101YA0400X
VA0701002330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4945255Medicaid
VACO4867Medicare UPIN