Provider Demographics
NPI:1952118986
Name:WASHINGTON, ANDREA LEIGH (LPC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:LEIGH
Last Name:WASHINGTON
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 1:3004 KNIGHT RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-2829
Mailing Address - Country:US
Mailing Address - Phone:757-371-6878
Mailing Address - Fax:
Practice Address - Street 1:3004 KNIGHT RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-2829
Practice Address - Country:US
Practice Address - Phone:757-371-6878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health